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Headache. 2005 Jan;45(1):76-80.

Spontaneous intracranial hypotension presenting as mental deterioration.

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Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.


A 55-year-old woman had new onset of postural headache followed by change of mental status 3 weeks later. Magnetic resonance imaging (MRI) of the brain and whole spine showed typical spontaneous intracranial hypotension (SIH) findings, bilateral subdural hematoma, and cerebrospinal fluid leakage over the T7-T9. Her headache and mentality improved after epidural blood patches. Early recognition and correct diagnosis are crucial for successful treatment in patients with SIH presenting with mental confusion.

[Indexed for MEDLINE]

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