Chronic Subdural Hematoma after Spontaneous Intracranial Hypotension : A Case Treated with Epidural Blood Patch on C1-2.
10.3340/jkns.2011.50.3.274
- Author:
Byung Won KIM
1
;
Young Jin JUNG
;
Min Su KIM
;
Byung Yon CHOI
Author Information
1. Department of Neurosurgery, Yeungnam University College of Medicine, Daegu, Korea. mogumns@daum.net
- Publication Type:Case Report
- Keywords:
Blood patch;
Epidural;
Intracranial hypotension;
Subdural hematoma
- MeSH:
Analgesics;
Bed Rest;
Blood Patch, Epidural*;
Cerebrospinal Fluid;
Headache;
Hematoma, Subdural;
Hematoma, Subdural, Chronic*;
Humans;
Intracranial Hypotension*;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Myelography;
Trephining
- From:Journal of Korean Neurosurgical Society
2011;50(3):274-276
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
