The domino effect of acephalgic spontaneous intracranial hypotension
NEUROLOGICAL SCIENCES(2020)
摘要
Spontaneous intracranial hypotension results from a spinal CSF leak and usually presents with orthostatic headache, although acephalgic presentations have anecdotally been reported. The underlying low CSF volume, rarely, leads to serious complications such as cerebral venous thrombosis and coma. We report a patient presenting with cerebral venous thrombosis secondary to acephalgic spontaneous intracranial hypotension. An epidural blood patch was performed; nonetheless, the patient intracracal condition deteriorated to coma and neuroimages showed a deep brain swelling with midbrain distortion, subsequently complicated by intracranial pontine hemorrhage.
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关键词
Cerebral venous thrombosis,CSF leak,Epidural blood patch,Midbrain swelling,Deep brain swelling,Orthostatic headache
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