Delayed Subdural Hematoma After Epidural Blood Patching in a Patient With Spontaneous Intracranial Hypotension -Case Report

被引:4
作者
Wang, Hao-Kuang [1 ]
Liliang, Po-Chou [1 ]
Liang, Cheng-Loong [1 ]
Lu, Kang [1 ]
Hung, Kuo-Chuan [2 ]
Chen, Han-Jung [1 ]
机构
[1] I Shou Univ, Dept Neurosurg, E Da Hosp, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
[2] I Shou Univ, Dept Anesthesiol, E Da Hosp, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
关键词
subdural hematoma; epidural blood patching; spontaneous intracranial hypotension; cerebrospinal fluid; magnetic resonance cisternography;
D O I
10.2176/nmc.50.479
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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.
引用
收藏
页码:479 / 481
页数:3
相关论文
共 9 条
  • [1] Gadolinium-enhanced MR cisternography to evaluate dural leaks in intracranial hypotension syndrome
    Albayram, S.
    Kilic, F.
    Ozer, H.
    Baghaki, S.
    Kocer, N.
    Islak, C.
    [J]. AMERICAN JOURNAL OF NEURORADIOLOGY, 2008, 29 (01) : 116 - 121
  • [2] Early epidural blood patch in spontaneous intracranial hypotension
    Berroir, S
    Loisel, B
    Ducros, A
    Boukobza, M
    Tzourio, C
    Valade, D
    Bousser, MG
    [J]. NEUROLOGY, 2004, 63 (10) : 1950 - 1951
  • [3] Subdural haematoma: a potentially serious consequence of spontaneous intracranial hypotension
    de Noronha, RJ
    Sharrack, B
    Hadjivassiliou, M
    Romanowski, CAJ
    [J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2003, 74 (06) : 752 - 755
  • [4] Epidural blood patch therapy for chronic whiplash-associated disorder
    Ishikawa, Shinichi
    Yokoyama, Masataka
    Mizobuchi, Satoshi
    Hashimoto, Hidenori
    Moriyama, Eiji
    Morita, Kiyoshi
    [J]. ANESTHESIA AND ANALGESIA, 2007, 105 (03) : 809 - 814
  • [5] Clinical features and long-term results of spontaneous intracranial hypotension
    Kong, DS
    Park, K
    Nam, DH
    Lee, JI
    Kim, JS
    Eoh, W
    Kim, JH
    [J]. NEUROSURGERY, 2005, 57 (01) : 91 - 95
  • [6] Subdural haematoma in patients with spontaneous intracranial hypotension
    Lai, T-H
    Fuh, J-L
    Lirng, J-F
    Tsai, P-H
    Wang, S-J
    [J]. CEPHALALGIA, 2007, 27 (02) : 133 - 138
  • [7] Headaches caused by decreased intracranial pressure: diagnosis and management
    Mokri, B
    [J]. CURRENT OPINION IN NEUROLOGY, 2003, 16 (03) : 319 - 326
  • [8] Spectrum of subdural fluid collections in spontaneous intracranial hypotension
    Schievink, WI
    Maya, MM
    Moser, FG
    Tourje, J
    [J]. JOURNAL OF NEUROSURGERY, 2005, 103 (04) : 608 - 613
  • [9] Cerebral Venous Thrombosis in Spontaneous Intracranial Hypotension
    Schievink, Wouter I.
    Maya, Menahem Marcel
    [J]. HEADACHE, 2008, 48 (10): : 1511 - 1519