case_images: PMC6107704_01
case_images: Pre-treatment sagittal (A) and axial (B) T2-weighted MRI images show brain sagging, tonsillar herniation, diffuse brain swelling, and venous sinus congestion.
case_images: fneur-09-00673-g0001.jpg
case_images: PMC6107704_01_fneur-09-00673-g0001.jpg
case_images: F1
case_images: Her EEG was normal and her brain MRI (Figure 1) showed mild frontotemporal atrophy. A retrospective review of the brain MRI scans (Figures 1A,B) revealed diffuse pachymeningeal gadolinium enhancement and sagging of the brainstem, which were consistent with intracranial hypotension.
case_images: Post-treatment sagittal (A) and axial (B) T2-weighted MRI images show almost complete resolution of the findings of intracranial hypotension.
case_images: fneur-09-00673-g0002.jpg
case_images: PMC6107704_01_fneur-09-00673-g0002.jpg
case_images: F2
case_images: A repeat brain MRI scan was performed at the end of the fourth month (Figures 2A,B), which showed reduced brain swelling, less venous sinus congestion, and resolution of the tonsillar herniation.