scholarly journals Intracranial Hypotension Syndrome with Cortical Venous Thrombosis: A Rare Case

2016 ◽  
Vol 22 (4) ◽  
pp. 188-191
Author(s):  
Deepak Jain ◽  
Ashima Mittal
2007 ◽  
Vol 6 (3) ◽  
pp. 276-279 ◽  
Author(s):  
Erwin M. J. Cornips ◽  
Julie Staals ◽  
Angela Stavast ◽  
Kim Rijkers ◽  
Robert J. Van Oostenbrugge

✓ The authors present a rare case of fatal cerebral and cerebellar hemorrhagic infarction following an uneventful thoracoscopic microdiscectomy. They hypothesize that this complication was associated with cortical venous thrombosis secondary to intracranial hypotension, which was caused by an unnoticed leak of cerebrospinal fluid (CSF) into the thoracic cavity. Cortical venous thrombosis and intrathoracic CSF were confirmed at autopsy. The former disorder is the most severe manifestation of the pathophysiological mechanism occurring to a lesser degree in patients affected by mild intracranial hypotension, and occurs more frequently in these patients. Intracranial hypotension (of an orthostatic nature or not) must be considered in the differential diagnosis of every patient who complains of headaches after thoracoscopic or open transthoracic microdiscectomy.


2009 ◽  
Vol 49 (6) ◽  
pp. 916-919 ◽  
Author(s):  
Sait Albayram ◽  
Batuhan Kara ◽  
Hamiyet Ipek ◽  
Mustafa Ozbayrak ◽  
Fatih Kantarci

Cephalalgia ◽  
2007 ◽  
Vol 27 (12) ◽  
pp. 1413-1417 ◽  
Author(s):  
Y-F Wang ◽  
J-L Fuh ◽  
J-F Lirng ◽  
F-C Chang ◽  
S-J Wang

Spontaneous intracranial hypotension (SIH) associated with subarachnoid haemorrhage (SAH) has never been reported. Here, we report on a case of a 33-year-old woman with SIH, who developed simple partial sensory seizures 3 weeks later. Neuroimaging studies, including brain computed tomography and angiography, were initially normal, but revealed an isolated cortical venous thrombosis at 3 weeks. One week later, brain magnetic resonance imaging showed SAH around the thrombosed cortical vein. We postulate that the decline in the venous blood flow velocity due to SIH may have resulted in cortical venous thrombosis, which in turn led to rupture of the vessel wall and SAH in this patient.


2011 ◽  
Vol 4 (5) ◽  
pp. 488-489
Author(s):  
Dr. Arun kumar.N Dr. Arun kumar.N ◽  
◽  
Dr.Ramesh. S.S Dr.Ramesh. S.S ◽  
Dr.M.M.Basavaraju Dr.M.M.Basavaraju ◽  
Dr.Mohan kumar.V Dr.Mohan kumar.V ◽  
...  

Author(s):  
Mayank Tyagi ◽  
Surya K. Dube ◽  
Vanitha Rajagopalan ◽  
Gyaninder P. Singh

Abstractβ-thalassemia are a group of inherited blood disorders with reduced hemoglobin levels. β-thalassemia major is the severe form of disease, and the patients often display an array of associated organ dysfunction which thus increase the risk associated with surgery and anesthesia. Patients with β-thalassemia major can have multiple pathological defects that may lead to thromboembolic events. Here, we report such a case who was complicated by occurrence of cerebral sinus thrombosis and presented for decompressive hemicraniectomy under general anesthesia. The anesthetic challenges during in such scenario have been discussed.


2002 ◽  
Vol 16 (1) ◽  
pp. 75-78 ◽  
Author(s):  
Jingming Bai ◽  
Kunihiko Yokoyama ◽  
Seigo Kinuya ◽  
Shota Konishi ◽  
Takatoshi Michigishi ◽  
...  

1998 ◽  
Vol 88 (2) ◽  
pp. 237-242 ◽  
Author(s):  
John L. D. Atkinson ◽  
Brian G. Weinshenker ◽  
Gary M. Miller ◽  
David G. Piepgras ◽  
Bahram Mokri

Object. Spontaneous spinal cerebrospinal fluid (CSF) leakage with development of the intracranial hypotension syndrome and acquired Chiari I malformation due to lumbar spinal CSF diversion procedures have both been well described. However, concomitant presentation of both syndromes has rarely been reported. The object of this paper is to present data in seven cases in which both syndromes were present. Three illustrative cases are reported in detail. Methods. The authors describe seven symptomatic cases of spontaneous spinal CSF leakage with chronic intracranial hypotension syndrome in which magnetic resonance (MR) images depicted dural enhancement, brain sagging, loss of CSF cisterns, and acquired Chiari I malformation. Conclusions. This subtype of intracranial hypotension syndrome probably results from chronic spinal drainage of CSF or high-flow CSF shunting and subsequent loss of brain buoyancy that results in brain settling and herniation of hindbrain structures through the foramen magnum. Of 35 cases of spontaneous spinal CSF leakage identified in the authors' practice over the last decade, MR imaging evidence of acquired Chiari I malformation has been shown in seven. Not to be confused with idiopathic Chiari I malformation, ideal therapy requires recognition of the syndrome and treatment directed to the site of the spinal CSF leak.


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