Spontaneous intracranial hypotension complicated with cerebral venous thrombosis and spinal epidural hematoma: a case report
10.3760/cma.j.cn113694-20191031-00672
- VernacularTitle:自发性低颅压合并颅内静脉窦血栓、脊柱硬膜外血肿一例
- Author:
Dan ZHANG
1
;
Nan ZHI
;
Yan LIN
;
Qiaowei ZHANG
;
Xingyue HU
Author Information
1. 浙江大学医学院附属邵逸夫医院神经内科，杭州 310016
- From:
Chinese Journal of Neurology
2020;53(7):528-530
- CountryChina
- Language:Chinese
-
Abstract:
Spontaneous intracranial hypotension patients may have complications, such as cerebral venous thrombosis and intracranial subdural hematoma, while complicating with spinal epidural hematoma is rarely reported. A spontaneous intracranial hypotension patient, who started with orthostatic headache, followed by cerebral venous thrombosis , manifested as seizure, status epilepticus, and parenchymal hemorrhage, was admitted to Sir Run Run Shaw Hospital. Spinal evaluation showed lumbar epidural hematoma, without spinal cord compression symptoms. The patient improved with bed rest, fluid infusion, antiepileptic drug, and anticoagulation therapy. Three weeks after discharge, headache recurred without complete remission after lying flat. Cranial neuroimaging showed bilateral subdural hematoma. Anticoagulation was ceased. Subdural hematoma absorbed after treated with two epidural blood patches. The patient was headache-free during follow-up.
