Subdural haematoma: a potentially serious consequence of spontaneous intracranial hypotension.
J Neurol Neurosurg Psychiatry
; 74(6): 752-5, 2003 Jun.
Article
em En
| MEDLINE
| ID: mdl-12754345
ABSTRACT
BACKGROUND:
Spontaneous intracranial hypotension (SIH) is characterised by postural headache and low opening pressure at lumbar puncture without obvious cause. Cranial magnetic resonance imaging often shows small subdural collections without mass effect, dural enhancement, venous sinus dilatation, or downward displacement of the brain. The condition is thought to be benign.OBJECTIVES:
To evaluate the incidence of subdural haematoma as a serious complication of SIH.METHODS:
A prospective survey of all cases of SIH presenting to a large neuroscience unit over a two year period.RESULTS:
Nine cases of SIH were seen. Four of these were complicated by acute clinical deterioration with reduced conscious level because of large subdural haematomas requiring urgent neurosurgical drainage.CONCLUSIONS:
SIH should not be considered a benign condition. Acute deterioration of patients' clinical status may occur secondary to large subdural haematomas, requiring urgent neurosurgical intervention.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hipotensão Intracraniana
/
Hematoma Subdural
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Neurol Neurosurg Psychiatry
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
Reino Unido