Chronic Subdural Hematoma after Spontaneous Intracranial Hypotension: A Case Treated with Epidural Blood Patch on C1-2

Title
Chronic Subdural Hematoma after Spontaneous Intracranial Hypotension: A Case Treated with Epidural Blood Patch on C1-2
Author(s)
김민수김병원[김병원]정영진최병연
Keywords
CEREBROSPINAL-FLUID LEAK; HEADACHE
Issue Date
201109
Publisher
KOREAN NEUROSURGICAL SOC
Citation
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, v.50, no.3, pp.274 - 276
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.
URI
http://hdl.handle.net/YU.REPOSITORY/24581http://dx.doi.org/10.3340/jkns.2011.50.3.274
ISSN
2005-3711
Appears in Collections:
의과대학 > 신경외과학교실 > Articles
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE