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Spontaneous Intracranial Hypotension Associated with Kinetic Tremor and Ataxia
1Department of Neuroscience, Jackson Hospital & Clinic, Montgomery, AL, USA.
Background:
Spontaneous intracranial hypotension (SIH) is a clinically variable syndrome caused by low cerebrospinal fluid (CSF) pressure due to a non-traumatic CSF leak.
Phenomenology Shown:
This case describes a 68-year-old gentleman who presents with chronic and slightly progressive kinetic tremor of bilateral hands associated with gait ataxia and gait start hesitation.
Educational Value:
This case underscores the importance of having a high index of suspicion for the diagnosis of SIH when encountering a patient presenting with late-onset progressive kinetic tremor and gait ataxia syndrome.
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