Intracranial Chronic Subdural Hematoma Presenting with Intractable Headache after Cervical Epidural Steroid Injection
Journal of Korean Neurosurgical Society
; : 144-146, 2015.
Article
in En
| WPRIM
| ID: wpr-78671
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WPRO
ABSTRACT
Postdural punctural headache (PDPH) following spinal anesthesia is due to intracranial hypotension caused by cerebrospinal fluid (CSF) leakage, and it is occasionally accompanied by an intracranial hematoma. To the best of our knowledge, an intracranial chronic subdural hematoma (CSDH) presenting with an intractable headache after a cervical epidural steroid injection (ESI) has not been reported. A 39-year-old woman without any history of trauma underwent a cervical ESI for a herniated nucleus pulposus at the C5-6 level. One month later, she presented with a severe headache that was not relieved by analgesic medication, which changed in character from being positional to non-positional during the preceding month. Brain magnetic resonance imaging revealed a CSDH along the left convexity. Emergency burr-hole drainage was performed and the headache abated. This report indicates that an intracranial CSDH should be considered a possible complication after ESI. In addition, the event of an intractable and changing PDPH after ESI suggests further evaluation for diagnosis of an intracranial hematoma.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Brain
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Magnetic Resonance Imaging
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Cerebrospinal Fluid
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Drainage
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Intracranial Hypotension
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Hematoma, Subdural, Chronic
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Headache Disorders
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Diagnosis
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Emergencies
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Headache
Type of study:
Diagnostic_studies
Limits:
Adult
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Female
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Humans
Language:
En
Journal:
Journal of Korean Neurosurgical Society
Year:
2015
Type:
Article