Intracranial hypotension

Case contributed by Dr Ian Bickle

Presentation

Prolonged period of projectile vomiting due to gastroenteritis. Headache.

Patient Data

Age: 44
Gender: Male
Modality: MRI

Mild diffuse meningeal enhancement.

Mild 'sagging' of the posterior body of the corpus callosum.

Slit like third ventricle.

A repeat study was undertaken a week later in a different hospital - some sequences available.

Modality: MRI

The imaging findings are now much more pronounced.

Intense diffuse meningeal enhancement.

Engorgement of the venous sinuses.

The ventricle system is less apparent than the prior scan, in particular the 3rd ventricle is barely discernable.

'Droopy penis' appearance to the corpus callosum.

 

Case Discussion

This case illustrates the MRI findings of idiopathic intracranial hypotension.

The second scan illustrates this in a very prounced manner.

 

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Case Information

rID: 41431
Case created: 1st Dec 2015
Last edited: 7th Nov 2016
Inclusion in quiz mode: Included

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