Document Detail

Teaching NeuroImages:Subdural hematoma with pseudo-intracranial hypertension.
MedLine Citation:
PMID:  23267035     Owner:  NLM     Status:  In-Data-Review    
A 40-year-old woman presented with worsening headache accompanied by vomiting, anorexia, and tinnitus. The headaches were initially orthostatic. MRI showed chronic progressive subdural hematomas (SDH) with significant mass effect, diffuse pachymeningeal enhancement, and pituitary enhancement/enlargement (figure, A and B), indicating intracranial hypotension due to spontaneous spinal CSF leak, which was confirmed by CT myelography (figure, C). CSF leak is an important cause of SDH,(1) which, by clinical and radiologic manifestations, may give the false impression that the patient has intracranial hypertension but without papilledema or hydrocephalus, termed pseudo-intracranial hypertension. This recognition is crucial because both conservative measures to decrease intracranial pressure and evacuation of the SDH are harmful.(1,2).
Xing-Lin Tan; Bo Xiao; Qi-Dong Yang; Qing Huang; Lan Xiao; Bei-Sha Tang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurology     Volume:  80     ISSN:  1526-632X     ISO Abbreviation:  Neurology     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e12     Citation Subset:  AIM; IM    
From the Department of Neurology, Xiangya Hospital, Central South University, Changsha, China.
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