geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

A patient with spontaneous intracranial hypotension--comparison between MRI findings and meningeal pathology


, : A patient with spontaneous intracranial hypotension--comparison between MRI findings and meningeal pathology. No to Shinkei 49(6): 541-546

We report a 44-year-old woman with spontaneous intracranial hypotension (SIH) who developed an acute, severe, nonthrobbing headache. The headache remained more severe in the occipital region and was markedly worse with upright posture. Cerebrospinal fluid (CSF) examination revealed an opening pressure of 55 mmH2O, and the CSF contained 38 cells/mm3 and 57 mg/dl of protein. The results of other laboratory examinations were unremarkable. T1-weighted MR images (MRI) of the head revealed an extensive diffuse pachymeningeal gadolinium enhancement and bilateral subdural fluid accumulation. On the 21st hospital day, a meningeal biopsy was performed through a right parietal craniotomy. On histologic examination, the dural border cell layer demonstrated nonspecific granulation tissue with mild inflammatory changes. The remaining layers of the dura mater and the arachnoid membrane showed no obvious pathological changes. We speculated that the inflammatory changes of the dural border cell layer correspond to the zone of pachymeningeal gadolinium enhancement of the MRI. The granulation tissue of the dural border cell layer and subdural fluid accumulation may represent secondary reactive phenomena, and were suspected to have been caused by downward displacement of the brain due to decreased intracranial pressure.

US$29.90

PMID: 9198095


Other references

Nayak, S.C.; Panda, D., 2002: Transformation of applied urea and its efficient utilization in rainfed lowland rice (Oryza sativa L.). Urea supergranules (USG) was not readily available for the farmers in eastern India, hence alternative feasible and acceptable methods of nitrogen fertilizer application to improve N use efficiency and increase rice production in rainfed lowland s...

Arbeithuber, B.; Makova, K.D.; Tiemann-Boege, I., 2016: Artifactual mutations resulting from DNA lesions limit detection levels in ultrasensitive sequencing applications. NlmCategory="UNASSIGNED">The need in cancer research or evolutionary biology to detect rare mutations or variants present at very low frequencies (<10<sup>-5</sup>) poses an increasing demand on lowering the detection l...

Ye, L.; Yang, M.; Xu, L.; Zhuang, X.; Dong, Z.; Li, S., 2014: Nonlinearity analysis and parameters optimization for an inductive angle sensor. Using the finite element method (FEM) and particle swarm optimization (PSO), a nonlinearity analysis based on parameter optimization is proposed to design an inductive angle sensor. Due to the structure complexity of the sensor, understanding the...

Mcnaught, K.S.P.; Bjorklund, L.; Sanchez Pernaute, S.; Kim, K.S.; Isacson, O., 2001: Embryonic stem cell transplantation in a rat model of Parkinsons disease II Attenuation of levodopa-induced dyskinesias and amphetamine-induced rotational behavior. The development of levodopa-induced dyskinesias in parkinsonian patients are thought to result from continuing loss of striatal dopaminergic (DA) terminals leading to significant alterations in basal ganglia neurotransmission. Therefore, we examin...

Gray, H.R., 1945: Site classification of coniferous plantations. The most satisfactory and practical index of site quality for Pinus radiata plantations in Australia is the age-height relation of the tallest (i.e., dominant or predominant) trees in the stand. The author prefers obtaining the age-height relation...

Fajo, M.; Norman, B.B.; Farver, T.F.; Lyons, J.F., 1995: A comparison of the incidence of 1992 STOP test detected antibiotic residues between the California and other western states slaughtered cow populations. In 1992, 18 California (CA) slaughter plants STOP (swab test on premise) tested 33 305 cows, out of which 965 (2.89%) were positive, whereas 51 other western states (OWS) slaughter plants STOP tested 3750 cows, out of which 93 (2.48%) were positiv...

Yamakuni, T.; Yamamoto, T.; Yamamoto, H.; Song, S.Y.ung; Nagatsu, T.; Kobayashi, K.; Yokoyama, M.; Nakano, A.; Suzuki, R.; Suzuki, N.; Iwashita, S.; Omori, A.; Ichinose, Y.; Kato,.;, 2002: Enhancement of noradrenergic phenotype expression in transgenic mice overexpressing V-1, a cytoplasmic ankyrin repeat protein. Nagatsu, Toshiharu [Editor, Reprint Author], Nabeshima, Toshitaka [Editor], McCarty, Richard [Editor], Goldstein, David S [Editor] Catecholamine research: From molecular insights to clinical medicine : 53-56

Alessio, L.; Lucchini, R., 2006: Prolactin changes as a consequence of chemical exposure. Environmental Health Perspectives 114(10): A573-4; Author Reply A574

Scott J.C.; Sarnquist F.H., 1985: Seizure like movements during a fentanyl infusion with absence of seizure activity in a simultaneous electroencephalogram recording. Anesthesiology (Hagerstown) 62(6): 812-814

Mandayo, G.García.; Herrán, J.; Castro-Hurtado, I.; Castaño, E., 2012: Performance of a CO2 impedimetric sensor prototype for air quality monitoring. Carbon dioxide detection is a relevant issue in many fields, and this work focuses on the use of a BaTiO(3)-CuO sputtered thin film layer in a gas sensor prototype for air quality measurements. For this, a double side sensor was fabricated, with a...