Delayed diagnosis, due to the associated radiological abnormalities, of spontaneous intracranial hypotension caused by cerebrospinal fluid leakage at C1-2.
Spontaneous intracranial hypotension (SIH) is an uncommon clinical entity that is often diagnosed after a delay, or it is misdiagnosed due to the variety of clinical presentations and the associated radiological findings. We present here a case of SIH associated with chronic subdural haematoma (SDH) and subarachnoid haemorrhage. Following the diagnosis of the SIH, the patient underwent injection of an epidural blood patch for the SIH and burr hole trephination was done for treating the chronic subdural haematoma.
Joo
Won-Il
WI
Department of Neurosurgery, The Catholic University of Korea, Seoul, Korea. jwi@catholic.ac.kr
Lee
Kyung-Jin
KJ
Rha
Hyung-Keun
HK
Park
Hae-Kwan
HK
Chough
Jeung-Ki
JK
D017217:Blood Patch, Epidural / Q000379:methods; D002574:Cervical Vertebrae; D006801:Humans; D019585:Intracranial Hypotension / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013353:Subdural Effusion / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome