Advanced

AJNR - American Journal of Neuroradiology

This Article Figures Only Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by Bekavac, I. Articles by Halloran, J. I. Search for Related Content PubMed PubMed Citation Articles by Bekavac, I. Articles by Halloran, J. I.

American Journal of Neuroradiology 24:838-839, May 2003
© 2003 American Society of Neuroradiology

Case Report
PEDIATRICS

Meningocele-induced Positional Syncope and Retinal Hemorrhage

Ivo Bekavac^a and John I. Halloran^a

^a From the Departments of Neurology and Neuroradiology, Cedar Valley Medical Specialists, Waterloo, IA

Address reprint requests to Ivo Bekavac, MD, PhD, Department of Neurology, Cedar Valley Medical Specialists, P.C., 1753 West Ridgeway, Suite 112, Waterloo, IA 50701

Summary: Meningocele is recognized as a rare, usually asymptomatic condition not associated with acute neurologic symptoms. We herein describe the case of a patient with a longstanding history of a lower back "mass" and recurrent syncope who became acutely unresponsive and developed bilateral retinal hemorrhages when she was placed in the supine position to undergo carotid sonography. MR imaging revealed a large, dorsal lumbar meningocele. The episode likely was caused by acutely increased intracranial pressure caused by displacement of CSF from the meningocele intracranially.