Spontaneous intracranial hypotension from intradural thoracic disc herniation. Case report

J Neurosurg. 2003 Apr;98(3 Suppl):282-4. doi: 10.3171/spi.2003.98.3.0282.


Spontaneous intracranial hypotension (SIH) may result from occult leaks anywhere along the neuraxis. Although this syndrome has been recognized over the past 10 years in the neurology and radiology literature, the typical magnetic resonance (MR) imaging picture and clinical course are less well known to neurosurgeons. The authors describe the case of a patient with positional headache and MR imaging findings typical of SIH that resulted from an intradural disc herniation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Blood Patch, Epidural
  • Dura Mater / physiopathology
  • Female
  • Headache / etiology
  • Headache / physiopathology
  • Headache / therapy
  • Humans
  • Intervertebral Disc Displacement / complications*
  • Intervertebral Disc Displacement / physiopathology
  • Intervertebral Disc Displacement / therapy
  • Intracranial Hypotension / diagnosis
  • Intracranial Hypotension / etiology*
  • Intracranial Hypotension / therapy
  • Magnetic Resonance Imaging
  • Myelography / methods
  • Thoracic Vertebrae / physiopathology
  • Treatment Outcome