Neurology: Case of the Month

Test Yourself — Patient 28

Spontaneous Intracranial Hypotension

1. Which of the following are considered causes of orthostatic/postural headaches?
   • [ A ] Spontaneous intracranial hypotension
   • [ B ] Colloid cyst of the third ventricle
   • [ C ] Post-lumbar puncture headache
   • [ D ] All of the above
   • [ E ] A and C
2. Typical findings suggestive of increased intracranial pressure include all of the following, EXCEPT:
   • [ A ] Early morning headaches
   • [ B ] Papilledema
   • [ C ] Nausea and vomiting
   • [ D ] Scintillations
   • [ E ] Worsening of headache on standing
3. Which of the following may cause diffuse meningeal enhancement on MRI?
   • [ A ] Spontaneous intracranial hypotension
   • [ B ] CNS lymphoma
   • [ C ] Neurosarcoidosis
   • [ D ] Lyme disease
   • [ E ] All of the above
   • [ F ] B, C, and D
4. All of the following are typically seen in patients with spontaneous intracranial hypotension, EXCEPT:
   • [ A ] Diffuse meningeal thickening and enhancement on MRI
   • [ B ] Low CSF pressure
   • [ C ] Papilledema
   • [ D ] Mild CSF pleocytosis
   • [ E ] Downward displacement of the cerebellar tonsils
5. All of the following are recognized causes of low CSF pressure headaches, EXCEPT:
   • [ A ] Cystecercosis
   • [ B ] Idiopathic
   • [ C ] Lumbar puncture
   • [ D ] Trauma

 

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