Spontaneous intracranial hypotension presenting as mental deterioration

被引:17
作者
Tsai, PH
Wang, SJ
Lirng, JF
Fuh, JL [1 ]
机构
[1] Taipei Vet Gen Hosp, Neurol Inst, Taipei, Taiwan
[2] Natl Yang Ming Univ, Sch Med, Dept Neurol, Taipei 112, Taiwan
[3] Taipei Vet Gen Hosp, Dept Radiol, Taipei, Taiwan
[4] Natl Yang Ming Univ, Sch Med, Dept Radiol, Taipei 112, Taiwan
来源
HEADACHE | 2005年 / 45卷 / 01期
关键词
coma; orthostatic headache; spontaneous intracranial hypotension;
D O I
10.1111/j.1526-4610.2005.t01-1-05013.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 55-year-old woman had new onset of postural headache followed by change of mental status 3 weeks later. Magnetic resonance imaging (MRI) of the brain and whole spine showed typical spontaneous intracranial hypotension (SIH) findings, bilateral subdural hematoma, and cerebrospinal fluid leakage over the T7-T9. Her headache and mentality improved after epidural blood patches. Early recognition and correct diagnosis are crucial for successful treatment in patients with SIH presenting with mental confusion.
引用
收藏
页码:76 / 80
页数:5
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