title: [Cerebral venous thrombosis and subdural haematoma: complications of spontaneous intracranial hypotension].
abstract: We report on the case of a spontaneous intracranial hypotension with subdural hygroma, as well as cerebral venous thrombosis (CVT), both known complications of intracranial hypotension. The 45-year-old patient was subsequently treated - according to current guidelines for CVT - with anticoagulation, but developed subdural haematoma (SDH), which required neurosurgical treatment. Our case highlights the complex pathophysiological sequelae of intracranial hypotension, as well as the occasionally difficult treatment decisions. Subdural hygroma probably predisposes patients to SDH during anticoagulation. Thus, the potential benefit of anticoagulation needs to be weighed against the risk of SDH on an individual basis.
authors.affiliation: Klinik für Neurologie, Klinikum Fulda gAG.
authors.forename: J
authors.initials: J
authors.lastname: Fabricius
authors.forename: J M
authors.initials: JM
authors.lastname: Klotz
authors.forename: E
authors.initials: E
authors.lastname: Hofmann
authors.forename: R
authors.initials: R
authors.lastname: Behr
authors.forename: T
authors.initials: T
authors.lastname: Neumann-Haefelin
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D006408:Hematoma, Subdural / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D019585:Intracranial Hypotension / Q000150:complications* / Q000601:surgery; D020767:Intracranial Thrombosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D010644:Phenprocoumon / Q000627:therapeutic use; D013353:Subdural Effusion / Q000209:etiology; D020246:Venous Thrombosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery
chemical_list: D000925:Anticoagulants; D010644:Phenprocoumon