Movement disorders associated with spontaneous CSF leaks: A case series

@article{Mokri2014MovementDA,
  title={Movement disorders associated with spontaneous CSF leaks: A case series},
  author={B. Mokri},
  journal={Cephalalgia},
  year={2014},
  volume={34},
  pages={1134 - 1141}
}
  • B. Mokri
  • Published 2014
  • Medicine
  • Cephalalgia
Importance and Objective Headache is the most common symptom in spontaneous CSF leaks, frequently associated with additional manifestations. Herein, attention is drawn to movement disorder as a notable manifestation of spontaneous CSF leaks. Design Four women and one man (ages 51–78 years) with spontaneous CSF leaks and movement disorders were evaluated clinically and by pertinent neuroimaging studies with follow-up of one to seven years (mean 3.2 years). Results The movement disorder consisted… Expand
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References

SHOWING 1-10 OF 15 REFERENCES
MRI changes in intracranial hypotension
TLDR
Seven patients with the syndrome of intracranial hypotension who were referred to Memorial Sloan-Kettering, primarily because of suspicion of meningeal tumor or infection raised by the finding ofMeningeal enhancement on MRI, resolved or diminished in all six. Expand
Intracranial hypotension with parkinsonism, ataxia, and bulbar weakness.
TLDR
The clinical spectrum of intracranial hypotension can be broadened to include parkinsonism, cerebellar ataxia, and prominent bulbar dysfunction as with more common manifestations of the disorder, these features may resolve after appropriate treatment. Expand
Spontaneous Low Pressure, Low CSF Volume Headaches: Spontaneous CSF Leaks
TLDR
Spontaneous intracranial hypotension typically results from spontaneous cerebrospinal fluid leak, often at spine level and only rarely from skull base, and is recognized as an important cause of headaches. Expand
Spontaneous Intracranial Hypotension Resulting in Coma
This case expands our knowledge of the spectrum of manifestations of spontaneous intracranial hypotension. A 42-year-old man was seen for a third neurolog-ical opinion for obtundation. He presentedExpand
Chorea as a manifestation of spontaneous CSF leak
TLDR
Targeted epidural blood patch led to resolution of symptoms, including complete disappearance of choreiform movements, and CSF leak at the cervicothoracic junction. Expand
Spontaneous CSF Leaks.
TLDR
Emerging evidence supports the reduction of CSF pressure as an important adjuvant treatment in this patient population of middle-aged obese women with spontaneous cerebrospinal fluid leaks. Expand
Postural tremor as a manifestation of spontaneous intracranial hypotension
TLDR
The patient underwent epidural blood patching, which resulted in complete resolution of postural tremor within 2 months, and was diagnosed with spontaneous intracranial hypotension, a syndrome caused by low cerebrospinal fluid pressure due to leaking CSF. Expand
Low cerebrospinal fluid pressure syndromes.
TLDR
There has been remarkable progress in understanding this disorder and its associated cerebrospinal fluid (CSF) dynamics and some of the older concepts or presumptions have been challenged while novel observations continue to appear in the literature. Expand
Absent headache despite CSF volume depletion (intracranial hypotension).
TLDR
The authors report three patients-two with overdraining CSF shunts and one with proven CSF leak-with the typical pachymeningeal enhancement but without headaches. Expand
Intracranial hypotension presenting with severe encephalopathy. Case report.
TLDR
This case report expands the presently known clinical spectrum of this uncommon and generally benign illness by describing a patient with severe and protracted symptoms from intracranial hypotension. Expand
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