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KMID : 0359720230410040321
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Journal of the Korean Neurological Association
2023 Volume.41 No. 4 p.321 ~ p.323
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Spontaneous Intracranial Hypotension Presenting as Progressive Gait Impairment
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Kim Seung-Ae
Choi So-Youn
Ahn Soo-Hyun
Jeong Chan-Hee
Lee Mi-Ji
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Abstract
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Orthostatic headache is a hallmark symptom of spontaneous intracranial hypotension (SIH). However, SIH can manifest without headache, which can lead to a significant delay in treatment initiation. We hereby report a 70-year-old male with progressive gait disturbance and superficial siderosis. Magnetic resonance myelography showed an extensive extradural cerebrospinal fluid collection in the cervicothoracic spine. After a series of targeted epidural blood patch, the patient’s symptoms significantly improved. SIH should be considered as a potential cause of otherwise unexplained superficial siderosis to prompt an early diagnosis and treatment.
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KEYWORD
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Intracranial hypotension, Gait dysfunciton, neurologic, Cerebrospinal fluid
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