Spontaneous intracranial hypotension followed by dural sinus thrombosis: a case report.
SIH is an underdiagnosed condition with variable clinical and radiological presentations that leads to engorged dural sinuses and promotes stasis predisposing for dural sinus thrombosis (DST). We describe a young female patient who presented with clinical and imaging signs of SIH alone followed by a superimposed DST 10 days later. We discuss the pathophysiological mechanisms that may have led to this constellation, and review the literature to-date along with diagnostic and management implications.
Ivanidze
Jana
J
Ludwig Maximilians University of Munich, Geschwister-Scholl-Platz 1, Munich, Germany. jana_ivanidze@web.de
Zimmerman
Robert D
RD
Sanelli
Pina C
PC
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D019585:Intracranial Hypotension / Q000000981:diagnostic imaging / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D012851:Sinus Thrombosis, Intracranial / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
D000925:Anticoagulants