![]() A contrast-enhanced brain magnetic resonance imaging (MRI) scan only revealed generalised smooth dural enhancement ( Fig. We suspected post-traumatic low CSF pressure headache, and the patient was admitted to the neurology department. Physical examination revealed nuchal rigidity with positive Kernig and Brudzinski signs. It improved only with bed rest and intensified when the patient stood. The headache was frontal and drug-resistant, and was accompanied by nausea and vomiting. Headache started 2 hours after the patient lifted a 47-inch television set. Our patient was a 30-year old woman with no relevant personal history, who visited our department due to progressive headache of 48 hours’ duration. ![]() We present a case with striking neuroimaging findings, which enabled us to clearly locate the site of the CSF leak at the lumbar level (a rare location) this was essential to establish a definitive treatment. 1 Locating the site of the CSF leak is relevant due to the possible prognostic implications. However, it is relatively infrequent for the site of the CSF leak to be located, especially in cases secondary to mild trauma the upper thoracic spine and cervico-thoracic junction are the most frequent locations. Low cerebrospinal fluid (CSF) pressure due to meningeal tear is an infrequent but widely reported condition, often associated with typical neuroimaging findings that are helpful for diagnosis. ![]()
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