MRI findings in liquor hypotension syndrome

Excerpt

A 59-year-old woman presented with a 10-day history of unprovoked, acute-onset bilateral occipital headache and neck pain. The headache worsened with being upright and disappeared minutes after lying down. She experienced associated nausea and auditory changes, described as ‘being within a bubble’. As her symptoms progressed, she developed a postural bilateral tinnitus. Brain magnetic resonance (MR) imaging showed typical signs of liquor hypotension syndrome (Fig. 1) [1, 2]. A lumbar blood patch had no sustained effect. MR myelography confirmed a cerebrospinal fluid leak at the D1–D2 junction (Fig. 2). Symptoms completely resolved after targeted blood patch using an epidural catheter. …