Management of Spontaneous Intracranial Hypotension With Subdural Hematoma: Report of 2 Cases

被引：1

作者：

Xia, Ping ^{[1
,2
]}

Wang, Jin ^{[1
,2
]}

Zhang, Qiaowei ^{[1
,2
]}

Huang, Meili ^{[1
,2
]}

Wang, Li ^{[1
,2
]}

Lu, Ji ^{[3
]}

Lu, Peilin ^{[1
,2
]}

Hu, Xingyue ^{[1
,2
]}

机构：

[1] Zhejiang Univ, Dept Neurol, Sir Run Run Shaw Hosp, Sch Med, Hangzhou 310016, Zhejiang, Peoples R China

[2] Zhejiang Univ, Sir Run Run Shaw Inst Clin Med, Hangzhou 310016, Zhejiang, Peoples R China

[3] Huangyan Tradit Med Hosp, Dept Tradit Chinese Med, Taizhou, Zhejiang, Peoples R China

来源：

NEUROSURGERY QUARTERLY | 2011年 / 21卷 / 03期

关键词：

spontaneous intracranial hypotension; subdural hematoma; epidural blood patch; drainage;

D O I：

10.1097/WNQ.0b013e31821264d5

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Spontaneous intracranial hypotension (SIH) is an increasingly recognized disease characterized by postural headache. Subdural hematoma (SDH) is a severe complication of SIH. We describe 2 patients with SIH who developed bilateral SDHs and outline the typical clinical and neuroimaging findings. After failure of conservative treatment, one patient received epidural blood patch (EBP) and neurosurgical drainage of hematomas and the other was successfully managed by EBP alone without hematoma evacuation. SIH patients with SDH that suffered focal neurological deficits, decreased level of consciousness, or SDH with maximum thickness more than 1 cm were recommended to be treated with surgical drainage, followed by EBP to prevent SDH recurrence.

引用

页码：185 / 188

页数：4

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