I am a
Home I AM A Search Login

Papers of the Week

2020 Jun 23

Intern Med

Spontaneous Intracranial Hypotension with a Reversible Splenial Lesion after Swimming.


Uchigami H, Seki T, Hideyama T, Katsumata J, Maekawa R, Shiio Y
Intern Med. 2020 Jun 23.
PMID: 32581170.


Spontaneous intracranial hypotension (SIH) is an important cause of headache mainly associated with spinal cerebrospinal fluid leakage. We herein report the case of a 51-year-old man who developed SIH after swimming. Brain magnetic resonance imaging (MRI) showed a transient high-intensity lesion in the splenium of the corpus callosum (SCC), in addition to bilateral subdural hematomas (SDH) and pseudo-subarachnoid hemorrhage on brain computed tomography. The splenial lesion disappeared and SDH improved after an epidural blood patch. This case emphasizes that transient SCC lesions could coexist with SIH and that SIH should be considered in the differential diagnosis of SCC lesions.