Subdural hematoma in a patient with spontaneous intracranial hypotension and cerebral venous thrombosis

被引：23

作者：

Nardone, Raffaele ^{[1
,2
]}

Caleri, Francesca ^{[1
]}

Golaszewski, Stefan ^{[2
,3
]}

Ladurner, Gunther ^{[3
]}

Tezzon, Frediano ^{[1
]}

Bailey, Ariel ^{[4
]}

Trinka, Eugen ^{[2
]}

Zuccoli, Giulio ^{[4
]}

机构：

[1] Franz Tappeiner Hosp, Dept Neurol, I-39012 Merano, BZ, Italy

[2] Paracelsus Med Univ, Dept Neurol, Christian Doppler Clin, Salzburg, Austria

[3] Paracelsus Med Univ, Inst Neurosci, Christian Doppler Clin, Salzburg, Austria

[4] Univ Pittsburgh, Dept Radiol, Med Ctr, Pittsburgh, PA 15260 USA

来源：

NEUROLOGICAL SCIENCES | 2010年 / 31卷 / 05期

关键词：

Spontaneous intracranial hypotension; Cerebral venous thrombosis; Subdural hematoma; Anticoagulant therapy; LEAK;

D O I：

10.1007/s10072-010-0389-z

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 patient with clinical and neuroimaging findings of spontaneous intracranial hypotension (SIH) who developed cerebral venous thrombosis (CVT). An association between SIH and CVT has rarely been observed. Anticoagulation therapy was administered. The clinical course was subsequently complicated by a large subdural hematoma that required neurosurgical evacuation. The present report indicates that RH should not be always considered a benign condition, especially when associated with CVT and subdural fluid collections. Furthermore, clinicians should be aware of the potential risks of anticoagulant therapy in patients with SIH and CVT.

引用

页码：669 / 672

页数：4

共 22 条

[1]

[Anonymous], 1824, EDINBURGH MED SURG J

[2] Cerebral sinus venous thrombosis in two patients with spontaneous intracranial hypotension [J].

Berroir, S ;

Grabli, D ;

Héran, F ;

Bakouche, P ;

Bousser, MG .

CEREBROVASCULAR DISEASES, 2004, 17 (01) :9-12

[3] Spinal radiological findings in nine patients with spontaneous intracranial hypotension [J].

Chiapparini, L ;

Farina, L ;

D'Incerti, L ;

Erbetta, A ;

Pareyson, D ;

Carriero, MR ;

Savoiardo, M .

NEURORADIOLOGY, 2002, 44 (02) :143-150

[4] Syndrome of cerebral spinal fluid hypovolemia - Clinical and imaging features and outcome [J].

Chung, SJ ;

Kim, JS ;

Lee, MC .

NEUROLOGY, 2000, 55 (09) :1321-1327

[5] Subdural haematoma: a potentially serious consequence of spontaneous intracranial hypotension [J].

de Noronha, RJ ;

Sharrack, B ;

Hadjivassiliou, M ;

Romanowski, CAJ .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2003, 74 (06) :752-755

[6] Spontaneous CSF leak complicated by venous thrombosis and dural arteriovenous fistula [J].

Flemming, KD ;

Link, MJ .

CEPHALALGIA, 2005, 25 (09) :751-753

[7] The stroke syndrome of cortical vein thrombosis [J].

Jacobs, K ;

Moulin, T ;

Bogousslavsky, J ;

Woimant, F ;

Dehaene, I ;

Tatu, L ;

Besson, G ;

Assouline, E ;

Casselman, J .

NEUROLOGY, 1996, 47 (02) :376-382

[8] Spontaneous intracranial hypotension is associated with a risk of venous sinus thrombosis and subdural hematoma [J].

Kataoka, Hiroshi ;

Tanizawa, Emi ;

Ueno, Satoshi .

CEREBROVASCULAR DISEASES, 2007, 23 (04) :315-317

[9] Subdural haematoma in patients with spontaneous intracranial hypotension [J].

Lai, T-H ;

Fuh, J-L ;

Lirng, J-F ;

Tsai, P-H ;

Wang, S-J .

CEPHALALGIA, 2007, 27 (02) :133-138

[10] CSF hypovolemia vs intracranial hypotension in "spontaneous intracranial hypotension syndrome" [J].

Miyazawa, K ;

Shiga, Y ;

Hasegawa, T ;

Endoh, M ;

Okita, N ;

Higano, S ;

Takahashi, S ;

Itoyama, Y .

NEUROLOGY, 2003, 60 (06) :941-947

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