Al-Brashdi Yahya H, Raniga Sameer, Revati Sharma R
Department of Radiology, Oman Medical Specialty Board, Muscat, Oman.
Sultan Qaboos Univ Med J. 2013 Nov;13(4):E611-5. doi: 10.12816/0003327. Epub 2013 Nov 8.
To increase the awareness of spontaneous intracranial hypotension (SIH), we report in this paper a middle-aged woman who presented with an intractable headache that worsened in sitting and standing positions (a postural headache). Magnetic resonance imaging (MRI) of the spine demonstrated a cerebrospinal fluid (CSF) leak at the level of the cervical spine, in addition to typical features in a brain MRI, including symmetrical subdural collections, circumferential dural enhancement and features of midbrain sagging. The patient underwent a surgical repair of the cervical CSF leak which resulted in a dramatic symptomatic improvement that was confirmed by follow-up imaging.
为提高对自发性颅内低压（SIH）的认识，我们在本文中报告了一名中年女性，她出现了难治性头痛，在坐位和站立位时加重（体位性头痛）。脊柱磁共振成像（MRI）显示颈椎水平存在脑脊液（CSF）漏，此外脑部MRI还有典型表现，包括对称性硬膜下积液、硬脑膜环形强化和中脑下垂的特征。该患者接受了颈椎CSF漏的手术修复，症状显著改善，后续影像学检查证实了这一点。
