We report a 49-year-old woman with spontaneous intra-cranial hypotensi
on. This characteristic syndrome associates postural headache and a lo
w cerebro-spinal fluid pressure. It was confirmed by lumbar puncture a
nd magnetic resonance imagery. We describe the clinical and the cerebr
o-spinal fluid features, the radiological appearances, and the clinica
l and radiological course. The interests of this diagnosis are, first,
its spontaneous benign course and, second, to avoid unnecessary invas
ive investigations.