Intracranial hypotension

Case contributed by Dr Ian Bickle

Presentation

Prolonged period of projectile vomiting due to gastroenteritis. Headache.

Patient Data

Age: 44
Gender: Male
MRI

Mild diffuse meningeal enhancement.

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

Slit like third ventricle.

MRI

MRI 1 week later

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.

 

PlayAdd to Share

Case information

rID: 41431
Published: 11th Jan 2016
Last edited: 30th Jul 2018
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.