Postural tremor as a manifestation of spontaneous intracranial hypotension.

Nilda Turgut, Ercüment Unlü, Mustafa Kemal Hamamcioğlu, Babürhan Güldiken, Sait Albayram

Department of Neurology, School of Medicine, Trakya University, Edirne 22030, Turkey. nildaturgut@hotmail.com

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia 2010 Feb

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Spontaneous intracranial hypotension (SIH) is a syndrome caused by low cerebrospinal fluid (CSF) pressure due to leakage of CSF. Clinically, orthostatic headache, neck pain, nausea, emesis, interscapular pain, diplopia, dizziness, changes in hearing, visual blurring and radicular upper extremity symptoms are most frequently observed. We describe a 57-year-old man with SIH who presented with postural tremor. CSF leakage was revealed by cranial MRI. Lumbar puncture identified low CSF pressure and intrathecal gadolinium enhanced MR cisternography showed diffuse CSF leakage in the thoracolumbar region. The patient underwent epidural blood patching, which resulted in complete resolution of postural tremor within 2 months. Copyright 2009 Elsevier Ltd. All rights reserved.

Citation

Nilda Turgut, Ercüment Unlü, Mustafa Kemal Hamamcioğlu, Babürhan Güldiken, Sait Albayram. Postural tremor as a manifestation of spontaneous intracranial hypotension. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 2010 Feb;17(2):255-7