Spontaneous Intracranial Hypotension with Magnetic Resonance Localisation of Spinal Cerebrospinal Fluid Leak

To increase the awareness of spontaneous intracranial hypotension (sih), we report in this paper amiddle-aged woman who presented with an intractable headache that worsened in sitting and standing positions (a postural headache). magnetic resonance imaging (mri) of the spine demonstrated a cerebrospinal fluid (csf) leak at the level of the cervical spine, in addition to typical features in a brain mri, including symmetrical subdural collections, circumferential dural enhancement and features of midbrain sagging. the patient underwent a surgical repair of the cervical csf leak which resulted in a dramatic symptomatic improvement that was confirmed by follow-up imaging.