Spontaneous dural tear leading to intracranial hypotension and tonsillar herniation in Marfan syndrome: a case report

• Authors: Aqueel Pabaney, Emory University; Farhan A. Mirza, Aga Khan University; Nadir A. Syed, Aga Khan University; Humera Ahsan, Aga Khan University
• Journal Title: BMC NEUROLOGY
• Volume: Volume 10, Number 1
• Publisher: BMC | 2010-06-28, Pages 54-54
• Type of Work: Article | Final Publisher PDF
• Publisher DOI: http://doi.org/10.1186/1471-2377-10-54
• Subjects: Biology, Neuroscience; Health Sciences, Medicine and Surgery
• Keywords: Science & Technology; Life Sciences & Biomedicine; Clinical Neurology; Neurosciences & Neurology; CEREBROSPINAL-FLUID LEAKS; SECONDARY; HEADACHE; ENHANCEMENT; PATIENT

Abstract

Background: We describe the case of a 38 year old male with Marfan syndrome who presented with orthostatic headaches and seizures.Case Presentation: The patient was diagnosed with Spontaneous Intracranial Hypotension secondary to CSF leaks, objectively demonstrated by MR Myelogram with intrathecal contrast. Epidural autologus blood patch was administered at the leakage site leading to significant improvement.Conclusion: Our literature search shows that this is the second reported case of a Marfan patient presenting with symptomatic spontaneous CSF leaks along with tonsillar herniation.