Spontaneous intracranial hypotension presenting as pseudo-subarachnoid hemorrhage on CT scan

被引：13

作者：

Koh, Elly ^{[1
]}

Huang, Shih-Hao ^{[2
]}

Lai, Yen-Jun ^{[3
]}

Hong, Chien-Tai ^{[1
]}

机构：

[1] Far Eastern Mem Hosp, Dept Neurol, Taipei, Taiwan

[2] Far Eastern Mem Hosp, Dept Neurosurg, Taipei, Taiwan

[3] Far Eastern Mem Hosp, Dept Med Imaging, Taipei, Taiwan

来源：

JOURNAL OF CLINICAL NEUROSCIENCE | 2011年 / 18卷 / 09期

关键词：

Headache; Pseudo-subarachnoid hemorrhage; Spontaneous intracranial hypotension; PSEUDOSUBARACHNOID HEMORRHAGE; EDEMA;

D O I：

10.1016/j.jocn.2011.01.015

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We report a 20-year-old man who suffered from severe headache. A brain CT scan revealed that he had diffuse brain swelling and increased attenuation of the basal cisterns and Sylvian fissure. Subarachnoid hemorrhage (SAH) was diagnosed but the results of CT angiography and conventional arterioangiography were negative. His headache relapsed and remitted several times during the following months. Brain MRI demonstrated brain sagging with a crowded foramen magnum. Spontaneous intracranial hypotension (SIH) was finally diagnosed and his headache subsided after application of an epidural blood patch. Pseudo-SAH on CT scan is an unusual manifestation of SIH that often results in delay of diagnosis and adequate treatment. (C) 2011 Elsevier Ltd. All rights reserved.

引用

页码：1264 / 1265

页数：2

共 11 条

[1] CT diagnosis of non-traumatic subarachnoid haemorrhage in patients with brain edema [J].