Misdiagnosis of Spontaneous Intracranial Hypotension as a Risk Factor for Subdural Hematoma

2017 ◽  
Vol 57 (10) ◽  
pp. 1593-1600 ◽  
Author(s):  
Youn-Jung Kim ◽  
Hyun-Young Cho ◽  
Dong-Woo Seo ◽  
Chang Hwan Sohn ◽  
Shin Ahn ◽  
...  
Keyword(s):  
Risk Factor ◽  
Subdural Hematoma ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension

scholarly journals Delayed Subdural Hematoma After Epidural Blood Patching in a Patient With Spontaneous Intracranial Hypotension

2010 ◽  
Vol 50 (6) ◽  
pp. 479-481 ◽  
Author(s):  
Hao-Kuang WANG ◽  
Po-Chou LILIANG ◽  
Cheng-Loong LIANG ◽  
Kang LU ◽  
Kuo-Chuan HUNG ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension ◽  
Epidural Blood Patching

scholarly journals Spontaneous Intracranial Hypotension Manifesting as a Unilateral Subdural Hematoma with a Marked Midline Shift

2015 ◽  
Vol 7 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Joji Inamasu ◽  
Shigeta Moriya ◽  
Junpei Shibata ◽  
Tadashi Kumai ◽  
Yuichi Hirose
Keyword(s):  
Mental Status ◽  
Subdural Hematoma ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension ◽  
Altered Mental Status ◽  
Midline Shift ◽  
Hematoma Evacuation ◽  
Neurologic Deterioration ◽  
Blood Patch ◽  
Csf Leakage

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 subdural fluid (hematoma/hygroma). When SIH-related subdural hematoma is present only unilaterally with a concomitant midline shift, making an accurate diagnosis may be challenging, and inadvertent hematoma evacuation may result in further neurologic deterioration. We report a 58-year-old woman with an altered mental status who had visited a local hospital and in whom a brain CT showed a unilateral subdural hematoma with a marked midline shift. She was referred to our department because of her neurologic deterioration after hematoma evacuation. A CT myelography revealed a massive CSF leakage in the entire thoracic epidural space. She made a full neurologic recovery following blood patch therapy. Our case is unique and educational because the suspicion for SIH as an underlying cause of subdural hematoma is warranted in nongeriatric patients not only with bilateral but also unilateral lesions. An immediate search for CSF leakage may be important in cases with failed hematoma evacuation surgery.

Treatment and outcome of subdural hematoma in patients with spontaneous intracranial hypotension: a report of 35 cases

2017 ◽  
Vol 118 (1) ◽  
pp. 61-70 ◽  
Author(s):  
Enrico Ferrante ◽  
Fabio Rubino ◽  
Federica Beretta ◽  
Caroline Regna-Gladin ◽  
M. Mirko Ferrante
Keyword(s):  
Subdural Hematoma ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension
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