Document Detail


Chronic subdural hematoma after spontaneous intracranial hypotension : a case treated with epidural blood patch on c1-2.
MedLine Citation:
PMID:  22102965     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Spontaneous cerebrospinal fluid (CSF) leak is a recognized cause of spontaneous intracranial hypotension (SIH). Subdural hematoma (SDH) is a serious but rare complication of SIH. An autologous epidural blood patch at the CSF-leak site can effectively relieve SIH. We report a case of bilateral SDH with SIH caused by a CSF leak originating at the C1-2 level. A 55-year-old male complained of orthostatic headache without neurological signs. His symptoms did not respond to conservative treatments including bed rest, hydration and analgesics. Magnetic resonance imaging showed a subdural hematoma in the bilateral fronto-parietal region, and computed tomography (CT) myelography showed a CSF leak originating at the C1-2 level. The patient underwent successful treatment with a CT-guided epidural blood patch at the CSF-leak site after trephination for bilateral SDH.
Authors:
Byung-Won Kim; Young-Jin Jung; Min-Su Kim; Byung-Yon Choi
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Publication Detail:
Type:  Journal Article     Date:  2011-09-30
Journal Detail:
Title:  Journal of Korean Neurosurgical Society     Volume:  50     ISSN:  1598-7876     ISO Abbreviation:  J Korean Neurosurg Soc     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-11-21     Completed Date:  2011-11-23     Revised Date:  2011-11-23    
Medline Journal Info:
Nlm Unique ID:  101467054     Medline TA:  J Korean Neurosurg Soc     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  274-6     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, Yeungnam University College of Medicine, Daegu, Korea.
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