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 Volume 67, Number 8, October 24, 2006
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NEUROLOGY 2006;67:1490-1491
© 2006 American Academy of Neurology
Brief Communications

Chorea as a manifestation of spontaneous CSF leak

Bahram Mokri, MD, J. Eric Ahlskog, MD, PhD and Patrick H. Luetmer, MD

From the Departments of Neurology (B.M., J.E.A.) and Radiology (P.H.L.), Mayo Clinic, Rochester, MN.

Address correspondence and reprint requests to Dr. Bahram Mokri, Department of Neurology, E8A, Mayo Clinic College of Medicine, 200 First Street S.W., Rochester, MN 55905; e-mail: bmokri{at}mayo.edu.

A 59-year-old man presented with orthostatic headaches, memory complaints, pronounced choreiform movements, and related hyperkinetic dysarthria and titubations. Head MRI findings were suggestive of CSF leak. CSF pressure was low. CT myelography documented CSF leak at the cervicothoracic junction. Targeted epidural blood patch led to resolution of symptoms, including complete disappearance of choreiform movements.

Disclosure: The authors report no conflicts of interest.

Received April 14, 2006. Accepted in final form June 23, 2006.




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