Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
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A Case of Spontaneous Intracranial Hypotension with Subdural Hematoma Mimicking Meningitis

뇌수막염으로 오인된 경막밑 혈종이 동반된 자발성 두개 내 저압 1예

  • Jeong, In-Hye (Department of Neurology, Gachon University of Medicine & Science, Gachon University Gil Hospital) ;
  • Kim, Sung-Hyouk (Department of Neurology, Gachon University of Medicine & Science, Gachon University Gil Hospital) ;
  • Lee, Yeong-Bae (Department of Neurology, Gachon University of Medicine & Science, Gachon University Gil Hospital)
  • 정인혜 (가천의과학대학교 길병원 신경과학교실) ;
  • 김성혁 (가천의과학대학교 길병원 신경과학교실) ;
  • 이영배 (가천의과학대학교 길병원 신경과학교실)
  • Published : 2010.09.30
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Abstract

Spontaneous intracranial hypotension (SIH) results from spontaneous cerebral spinal fluid leakage, of unknown etiology, at the level of the spine. Physicians' unfamiliarity with SIH and a its varied clinical and radiographic manifestations may contribute to a delayed or erroneous diagnosis. We report an SIH patient whose subdural hematoma (SDH) clinically mimicked meningitis, but who recovered 1 week later, without any neurologic deficit, after an epidural blood patch (EBP) treatment.

Keywords

References

  1. Schievink WI. Misdiagnosis of spontaneous intracranial hypotension. Arch Neurol. 60:1713-1718, 2003 https://doi.org/10.1001/archneur.60.12.1713
  2. Schievink WI. Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA. 295:2286-2296, 2006 https://doi.org/10.1001/jama.295.19.2286
  3. Schievink WI, Maya MM, Moser FG, et al. Spectrum of subdural fluid collections in spontaneous intracranial hypotension. J Neurosurg. 103:608-613, 2005 https://doi.org/10.3171/jns.2005.103.4.0608
  4. Subdural haematoma: a potentially serious consequence of spontaneous intracranial hypotension. R J de Noronha, B Sharrack, M Hadjivassiliou, C A J RomanowskiJ Neurol Neurosurg Psychiatry 74:752-755, 2003 https://doi.org/10.1136/jnnp.74.6.752