Frontotemporal brain sagging syndrome is a dementia associated withhypersomnolence, personality changes, and features of intracranialhypotension on magnetic resonance imaging. The literature is sparse withrespect to treatment options; many patients simply worsen. We present a casein which this syndrome responded to lumbar dural reduction surgery.Postoperative magnetic resonance imaging indicated normalization of brainsagging and lumbar intrathecal pressure. Although no evidence ofcerebrospinal leak was found, extremely thin dura was notedintraoperatively, suggesting that a thin and incompetent dura could resultin this low-pressure syndrome. Clinicians who encounter this syndrome shouldconsider dural reduction surgery as a treatment strategy.