Pseudoarachnoiditis in Spontaneous Intracranial Hypotension
BALKAN MEDICAL JOURNAL, vol.28, no.1, pp.107-110, 2011 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 28 Issue: 1
- Publication Date: 2011
- Doi Number: 10.5174/tutfd.2009.02293.1
- Journal Name: BALKAN MEDICAL JOURNAL
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Page Numbers: pp.107-110
- Open Archive Collection: AVESIS Open Access Collection
- Istanbul University-Cerrahpasa Affiliated: Yes
Abstract
Spontaneous intracranial hypotension is an important cause of new daily persistent headaches in young and middle-aged individuals. The diagnosis is made based on low cerebrospinal fluid pressure with characteristic findings upon brain and spinal magnetic resonance imaging (MRI). We present the case of a 15-year-old boy with spontaneous intracranial hypotension. Although his brain MRI was normal, his lumbar spinal MRI showed clustering of the nerve roots characteristic of arachnoiditis. Radionuclide cisternography revealed an epidural leak, which was treated with an epidural blood patch. The patient reached a near-full recovery within 24 h, and the lumbar spinal MRI findings mimicking arachnoiditis disappeared.