Yahya Çelik1, Aslan Tekataş1, Sait Albayram2, Aysegul Gunduz3, Talip Asil5, Ercument Unlu4, Hatice Ozlece Kose6

1Trakya University School Of Medicine, Department Of Neurology, Edirne
2İstanbul University Cerrahpaşa School Of Medicine, Department Of Radiology, Istanbul
3İstanbul University Cerrahpaşa School Of Medicine, Department Of Neurology, Istanbul
4Trakya University School Of Medicine, Department Of Radiology, Edirne
5Bezmialem Vakıf University,school Of Medicine, Department Of Neurology, Istanbul
6Kafkas University School Of Medicine, Department Of Neurology, Kars

Keywords: Coma, spontaneous intracranial hypotension.

Abstract

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.