Table 3

Commonly associated symptoms and rare presentations of SIH*

Commonly associated symptomsRare presentations
Dizziness or vertigo (50.5%)
Nausea and vomiting (49.0%)
Disequilibrium (42.6%)
Muffled hearing or aural fullness (37.1%)
Posterior neck pain (34.2%)
Cognitive impairment† (31.7%)
Tinnitus (27.7%)
Hypoacusis (26.2%)
Fatigue (24.3%)
Photophobia or phonophobia (20.3%)
Visual blurring (17.8%)
Facial numbness, paraesthesia or pressure (15.8%)
Interscapular pain (10.9%)
Dysgeusia (7.4%)
Hyperacusis (5.9%)
Behavioural variant frontotemporal dementia syndrome (2.5%)
Reverse orthostatic headache (2%)
Bibrachial amyotrophy (1.5%)
Superficial siderosis (1.5%)
Cerebral venous thrombosis (1%)
Abducens nerve palsy (1%)
Spinal cord herniation (1%)
Coma (0.5%)
Syringomyelia (0.5%)
Hemifacial spasm (0.5%)
  • *Adapted from Schievink [4].

  • †Most commonly non-specific problems with concentration and word finding.4

  • SIH, spontaneous intracranial hypotension.