Subdural Hematoma Revealing Spontaneous Intracranial Hypotension: Diagnosis and Management. A Report of Four Cases
نویسنده
چکیده
The subdural hematoma (SDH) could be a serious complication of the spontaneous intracranial hypotension (SIH) that is a rare but well-known entity. We reported four illustrative cases of subdural hematomas revealing SIH. Three women and a man with mean age of 58.5 years. In three cases we noted sudden headaches, progressive and postural in one. CT scan has diagnosed the subdural hematomas that were thin and bilateral in three cases. Magnetic resonance imaging (MRI) confirmed the diagnosis of associated SIH. None has undergone an invasive exploration. Two patients were operated for clinical worsening. All of our patients were treated by epidural lumbar blood patch with very good outcome. author highlights the strategy of diagnosis and management of this underestimated pathology by showing different practical situations.
منابع مشابه
Spontaneous Intracranial Hypotension Manifesting as a Unilateral Subdural Hematoma with a Marked Midline Shift
Spontaneous intracranial hypotension (SIH) is a syndrome in which hypovolemia of the cerebrospinal fluid (CSF) results in various symptoms. Although its prognosis is usually benign, cases with a rapid neurologic deterioration resulting in an altered mental status have been reported. One of the characteristic radiographic findings in such cases is the presence of bilateral accumulation of subdur...
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INTRODUCTION Spontaneous intracranial hypotension is an infrequent cause of secondary headache due to cerebrospinal fluid (CSF) hypovolemia. OBJECTIVE To describe a case of headache revealing spontaneous intracranial hypotension complicated by subdural hematoma following lumbar puncture. OBSERVATION A 34-year-old man presented with acute postural headache. The first cerebral computed tomogr...
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