Intracranial hypotension in a girl with Marfan syndrome: case report and review of the literature

@article{Cheuret2007IntracranialHI,
  title={Intracranial hypotension in a girl with Marfan syndrome: case report and review of the literature},
  author={Emmanuel Cheuret and Thomas Edouard and Mehdi Mejdoubi and Pelin Açar and Catherine Pienkowski and Claude Canc{\'e}s and S{\'e}bastien Lebon and Mait{\'e} Tauber and Yves Chaix},
  journal={Child's Nervous System},
  year={2007},
  volume={24},
  pages={509-513}
}
IntroductionA 14-year-old girl, followed in our department for Marfan syndrome, presented with postural headache for a month. Neurological examination was normal. The diagnosis of intracranial hypotension syndrome was suspected.DiscussionBilateral subdural hematomas were found on brain magnetic resonance imaging (MRI), and spinal MRI showed large lumbosacral arachnoid diverticula; no cerebrospinal fluid leaks could be found. Despite bed rest and hydration for 2 weeks, postural headache remained… Expand
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References

SHOWING 1-10 OF 21 REFERENCES
Postural Headache in a Child With Marfan Syndrome
TLDR
Spontaneous intracranial hypotension secondary to cerebrospinal fluid leaks from dural ectasia should be recognized as a potential complication in children with Marfan syndrome and other connective tissue diseases. Expand
Severe spontaneous intracranial hypotension and Marfan syndrome in an adolescent
TLDR
It is considered that the underlying fibrillinopathy in Marfan syndrome rendered the dura sufficiently permeable to CSF leakage to cause the low CSF pressure headache. Expand
Spontaneous spinal cerebrospinal fluid leaks: a review.
TLDR
Surgical repair of the CSF leak is safe and generally successful, although a distinct structural cause of the leak often is not found. Expand
Epidemiology and Outcome of Postural Headache Management in Spontaneous Intracranial Hypotension
  • J. H. Diaz
  • Medicine
  • Regional Anesthesia & Pain Medicine
  • 2001
TLDR
Spontaneous intracranial hypotension was more common in women than men, was not uniformly responsive to epidural blood patch, and had significant comorbidities. Expand
Chronic Intractable Headache in a Patient With Marfan's Syndrome
TLDR
It is concluded that patients with Marfan's syndrome and undifferentiated chronic headaches should be radiologically evaluated for spinal meningeal defects. Expand
Syndrome of cerebral spinal fluid hypovolemia
TLDR
Patients with CSF hypovolemia frequently have distinct MRI and radioisotope cisternographic abnormalities and often respond favorably to an epidural blood patch. Expand
Importance of dural ectasia in phenotypic assessment of M arfan's syndrome
TLDR
Dural ectasia is a highly characteristic sign of Marfan's syndrome, even at an early age, and its relation to aortic pathology is investigated. Expand
Connective Tissue Disorders with Spontaneous Spinal Cerebrospinal Fluid Leaks and Intracranial Hypotension: A Prospective Study
TLDR
Findings suggesting connective tissue disorders are common among patients with spontaneous spinal CSF leaks, and manifestations may be subtle are found, are suggested. Expand
Dural ectasia in children with Marfan syndrome: A prospective, multicenter, patient‐control study
TLDR
Even during childhood pathologic changes inside the lumbosacral spine of patients with Marfan syndrome can be observed. Expand
New-onset headache in an adolescent with MASS syndrome.
TLDR
A 15-year-old girl with the "MASS" phenotype presents with a new onset low-pressure postural headache, which was confirmed with lumbar puncture and the pathophysiology and treatment of spontaneous intracranial hypotension are discussed. Expand
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