Bilateral subdural hematomas caused by spontaneous intracranial hypotension

Hsin Hung Chen*, Chun I. Huang, Shu Shya Hseu, Jiing Feng Lirng

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Patients with both spontaneous intracranial hypotension (SIH) and subdural hematomas (SDH) are frequently undiagnosed. SIH may recur very often over a short interval or result in disastrous consequences if only the SDH is dealt with. We report a young adult with severe posterior nuchal pain; brain computed tomography showed bilateral SDH. He was discharged smoothly without any neurologic deficit after epidural blood patches were applied after proper and timely diagnosis. Patients with SIH complicated by SDH should not be overlooked. When patients complain of typical orthostatic headache without any history of trauma, SIH should be highly suspected. The therapeutic strategy for this type of SDH is different from those without SIH. We review the literature on the disease.

Original languageEnglish
Pages (from-to)147-151
Number of pages5
JournalJournal of the Chinese Medical Association
Volume71
Issue number3
DOIs
StatePublished - Mar 2008

Keywords

  • Intracranial hypotension
  • Orthostatic headache
  • Subdural hematoma
  • Surgical intervention

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