Open AccessSpontaneous Intracranial Hypotension associated with Posterior Reversible Encephalopathy Syndrome
Author(s) -
Subham Choudhary,
Kanika Sethi,
Satyan Nanda,
Manmohan Mehndiratta,
Dr Rahul Handa
Publication year - 2022
Publication title -
indian journal of case reports
Language(s) - English
Resource type - Journals
eISSN - 2454-1303
pISSN - 2454-129X
DOI - 10.32677/ijcr.v8i1.3211
Subject(s) - medicine , posterior reversible encephalopathy syndrome , cerebrospinal fluid , epidural blood patch , magnetic resonance imaging , anesthesia , spontaneous intracranial hypotension , leak , cerebral blood volume , cerebrospinal fluid pressure , perfusion , perfusion scanning , encephalopathy , cerebral edema , brain edema , intracranial pressure , cardiology , radiology , environmental engineering , engineering
Spontaneous Intracranial Hypotension (SIH) is usually due to cerebrospinal fluid (CSF) leak, resulting in loss of CSF volume. Posterior reversible encephalopathy syndrome (PRES) is the inability of the posterior circulation of the brain to autoregulate in response to significant variation in blood pressure. Altered perfusion with associated blood-brain barrier disruption may lead to vasogenic edema, usually without infarction, commonly in the parieto-occipital regions. Magnetic Resonance Imaging (MRI) of the brain & Spine and cerebral MR venography (MRV) are essential tools for diagnosing clinically suspected SIH and PRES. We present a case of SIH associated with PRES in an 18-year-young gentleman.