Spontaneous Intracranial Hypotension Presenting as a Reversible Dorsal Midbrain Syndrome

被引：13

作者：

Fedi, Marco ^{[1
,2
]}

Cantello, Roberto ^{[4
]}

Shuey, Neil H. ^{[1
]}

Mitchell, L. Anne ^{[3
,5
]}

Comi, Cristoforo ^{[4
]}

Monaco, Francesco ^{[4
]}

Versino, Maurizio ^{[6
]}

机构：

[1] Austin Hlth, Dept Neurol, Heidelberg, Vic 3084, Australia

[2] Univ Melbourne, Austin Hlth Heidelberg, Sch Clin, Melbourne, Vic 3010, Australia

[3] Univ Melbourne, Austin Hlth Heidelberg, Dept Radiol, Melbourne, Vic 3010, Australia

[4] Univ Piemonte Orientale, Sez Neurol, Dipartimento Med Clin & Sperimentale, Novara, Italy

[5] Univ Melbourne, Dept Radiol, Parkville, Vic 3052, Australia

[6] Univ Pavia, Dipartimento Sci Neurol, Fdn Ist Neurol C Mondino, IRCCS, I-27100 Pavia, Italy

来源：

JOURNAL OF NEURO-OPHTHALMOLOGY | 2008年 / 28卷 / 04期

关键词：

D O I：

10.1097/WNO.0b013e31818eb48d

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A 47-year-old woman with postural headache, episodic stupor, and vertical gaze palsy had brain imaging findings consistent with spontaneous intracranial hypotension (SIH), including severe descent of the mesodiencephalic structures and diffuse pachymeningeal enhancement. The source of the cerebrospinal fluid leakage was a ruptured dorsal perineural cyst. Clinical symptoms improved after a targeted epidural blood patch was performed. Dorsal midbrain syndrome has not been reported previously as a manifestation of SIH. Perhaps distortion of structures in this brain region can occur in SIH as it does in obstructive hydrocephalus.

引用

页码：289 / 292

页数：4

共 15 条

[1] DORSAL MIDBRAIN SYNDROME - CLINICAL AND OCULOGRAPHIC FINDINGS [J].

BALOH, RW ;

FURMAN, JM ;

YEE, RD .

NEUROLOGY, 1985, 35 (01) :54-60

[2] Intracranial hypotension presenting with severe encephalopathy - Case report [J].

Beck, CE ;

Rizk, NW ;

Kiger, LT ;

Spencer, D ;

Hill, L ;

Adler, JR .

JOURNAL OF NEUROSURGERY, 1998, 89 (03) :470-473

[3]

Beversdorf DQ, 1995, J NEURO-OPHTHALMOL, V15, P230

[4] A hypothetical scheme for the brainstem control of vertical gaze [J].

Bhidayasiri, R ;

Plant, GT ;

Leigh, RJ .

NEUROLOGY, 2000, 54 (10) :1985-1993

[5] Neuro-ophthalmic complications of raised intracranial pressure, hydrocephalus, and shunt malfunction [J].

Chou, SY ;

Digre, KB .

NEUROSURGERY CLINICS OF NORTH AMERICA, 1999, 10 (04) :587-+

[6] PHYSIOLOGY OF CHOROID PLEXUS [J].

CSERR, HF .

PHYSIOLOGICAL REVIEWS, 1971, 51 (02) :273-+

[7] DURAL ENHANCEMENT AND CEREBRAL DISPLACEMENT SECONDARY TO INTRACRANIAL HYPOTENSION [J].

FISHMAN, RA ;

DILLON, WP .

NEUROLOGY, 1993, 43 (03) :609-611

[8]

Fishman RA, 1997, J NEUROSURG, V86, P165

[9] Subdural haematoma in patients with spontaneous intracranial hypotension [J].

Lai, T-H ;

Fuh, J-L ;

Lirng, J-F ;

Tsai, P-H ;

Wang, S-J .

CEPHALALGIA, 2007, 27 (02) :133-138

[10] Spontaneous intracranial hypotension - The broadening clinical and imaging spectrum of CSF leaks [J].

Mokri, B ;

Posner, JB .

NEUROLOGY, 2000, 55 (12) :1771-1772

← 1 2 →