Spontaneous intracranial hypotension and immediate improvement following epidural blood patch placement demonstrated by intracranial pressure monitoring. Case report.
The presentation of spontaneous intracranial hypotension (SIH) can be associated with various clinical and neuroimaging features that may impede a rapid diagnosis of this entity. The authors report the case of a patient who presented with bilateral third cranial nerve palsies and bilateral subdural hematomas. Intracranial pressure monitoring proved to be useful in the diagnosis and management of SIH in this patient.
Zada
Gabriel
G
Department of Neurosurgery, Keck School of Medicine, University of Southern California, Los Angeles, California 90033, USA. gzada@usc.edu
Pezeshkian
Patrick
P
Giannotta
Steven
S
D000328:Adult; D017217:Blood Patch, Epidural; D006408:Hematoma, Subdural / Q000628:therapy; D006801:Humans; D019585:Intracranial Hypotension / Q000175:diagnosis / Q000628:therapy*; D007427:Intracranial Pressure / Q000502:physiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D015840:Oculomotor Nerve Diseases / Q000209:etiology; D014057:Tomography, X-Ray Computed