Presentation
Prolonged period of projectile vomiting due to gastroenteritis. Headache.
Patient Data
Age: 45 years
Gender: Male
From the case:
Intracranial hypotension
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Coronal T1
Mild diffuse meningeal enhancement.
Mild 'sagging' of the posterior body of the corpus callosum.
Slit like third ventricle.
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Axial T1
A repeat MRI obtained a week late demonstrate the imaging findings to be far more pronounced.
Intense diffuse meningeal enhancement. Engorgement of the venous sinuses.
The ventricular system is less apparent than the prior scan and 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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