Spontaneous intracranial hypotension

Case contributed by Assoc Prof Frank Gaillard


40 year old male with headaches.

Patient Data

Age: 40 years
Gender: Male

MRI demonstrates prominent dural thickening and enhancement throughout all compartments. Sagittal midline image confirms general 'drooping' of the posterior fossa contents and splenium of the corpus callosum (the so-called 'droopy penis sign'). 

Findings are consistent with intracranial hypotension.

Case Discussion

Clinically this patient described the headaches as postural (worse on standing) and went on to have a lumbar puncture which confirmed low SF opening pressure. 

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Case information

rID: 4085
Published: 18th Jul 2008
Last edited: 2nd Jan 2020
Inclusion in quiz mode: Included

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