Spontaneous intracranial hypotension presenting with coma: a case report and literature review

Agri. 2015;27(3):160-2. doi: 10.5505/agri.2015.59454.


Spontaneous intracranial hypotension is characterized by orthostatic headache in the absence of a history of head trauma or lumbar puncture, and diagnosis is confirmed by a specific cerebrospinal fluid pressure and neuroimaging findings. It rarely presents with coma. A 62-year-old man presented with progressive cognitive decline of 2 to 4 weeks' duration. He was diagnosed with spontaneous intracranial hypotension according to cerebrospinal fluid pressure and neuroimaging findings, and treated conservatively.

Publication types

  • Case Reports

MeSH terms

  • Coma / etiology*
  • Diagnosis, Differential
  • Humans
  • Intracranial Hypotension / cerebrospinal fluid
  • Intracranial Hypotension / complications
  • Intracranial Hypotension / diagnosis*
  • Intracranial Hypotension / diagnostic imaging
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged