Spontaneous intracranial hypotension with isolated cortical vein thrombosis and subarachnoid haemorrhage

Y. F. Wang, J. L. Fuh, J. F. Lirng, F. C. Chang, S. J. Wang*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

45 Scopus citations

Abstract

Spontaneous intracranial hypotension (SIH) associated with subarachnoid haemorrhage (SAH) has never been reported. Here, we report on a case of a 33-year-old woman with SIH, who developed simple partial sensory seizures 3 weeks later. Neuroimaging studies, including brain computed tomography and angiography, were initially normal, but revealed an isolated cortical venous thrombosis at 3 weeks. One week later, brain magnetic resonance imaging showed SAH around the thrombosed cortical vein. We postulate that the decline in the venous blood flow velocity due to SIH may have resulted in cortical venous thrombosis, which in turn led to rupture of the vessel wall and SAH in this patient.

Original languageEnglish
Pages (from-to)1413-1417
Number of pages5
JournalCephalalgia
Volume27
Issue number12
DOIs
StatePublished - Dec 2007

Keywords

  • Cortical venous thrombosis
  • Headache
  • Spontaneous intracranial hypotension
  • Subarachnoid haemorrhage

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