Delayed subdural hematoma after epidural blood patching in a patient with spontaneous intracranial hypotension--case report.
A 51-year-old woman presented with a rare case of spontaneous intracranial hypotension (SIH) complicated by a delayed subdural hematoma (SDH) that required surgical evacuation 2 months after epidural blood patching (EBP). Subdural fluid collections are common among patients with SIH. These fluid collections vary in appearance from thin subdural hygromas to rare large SDHs associated with significant mass effect. Most subdural fluid collections can be safely managed by conservative treatment or EBP. The present clinical course and imaging findings illustrate the possible sequential complications of EBP in patients with SIH.
Wang
Hao-Kuang
HK
Department of Neurosurgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.
Liliang
Po-Chou
PC
Liang
Cheng-Loong
CL
Lu
Kang
K
Hung
Kuo-Chuan
KC
Chen
Han-Jung
HJ
D017217:Blood Patch, Epidural / Q000009:adverse effects*; D002946:Cisterna Magna / Q000473:pathology / Q000601:surgery; D004322:Drainage / Q000379:methods; D005260:Female; D046648:Hematoma, Subdural, Intracranial / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D019585:Intracranial Hypotension / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D008875:Middle Aged