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Spontaneous intracranial hypotension can be a rare but curable cause of severe and restrictive headaches. Typically, the headache is orthostatic, worsening when the sufferer assumes an upright position and improving when the person lies down. The clinical symptoms of spontaneous intracranial hypotension may vary because of traction on structures of the central nervous system (such as cranial nerves or spinal roots) or prolonged venous engorgement due to low cerebrospinal fluid (CSF) pressure. Neuroimaging is quite helpful for secondary headache diagnosis. In spontaneous intracranial hypotension, subdural effusion, pachymeningeal thickening, engorgement of venous structures, pituitary hyperemia and sagging of the brain can be discerned on magnetic resonance imaging (MRI). However, the spectrum of clinical and radiological findings is broad and diagnostic failure is common. We present a novel case with a ruptured temporal arachnoid cyst, which was complicated by the existence of coincidental and confusing clinical and radiological findings of spontaneous intracranial hypotension. Turkiye Klinikleri J Case Rep. 2019;27(4):231-5

A Case with Ruptured Arachnoid Cyst Complicated with Spontaneous Intracranial Hypotension