Subdural haematoma in patients with spontaneous intracranial hypotension

T. H. Lai, J. L. Fuh, J. F. Lirng, P. H. Tsai, S. J. Wang*

*此作品的通信作者

研究成果: Article同行評審

75 引文 斯高帕斯(Scopus)

摘要

The incidence and clinical relevance of subdural haematoma (SDH) in patients with spontaneous intracranial hypotension (SIH) remain undetermined. We reviewed 40 consecutive SIH patients (18 female, 22 male) in a tertiary hospital. Eight (20%) of them had SDH and nine (23%), non-haemorrhagic subdural collections. The presence of SDH was associated with higher frequencies of male gender, recurrence of severe headache and neurological deficits. Outcomes were satisfactory after supportive care or epidural blood patches except for one SDH patient, who developed transtentorial herniation resulting in Duret haemorrhage and infarctions of bilateral posterior cerebral artery territories. In conclusion, subdural fluid collections were common in patients with SIH. SDH was associated with headache worsening or neurological deficits. Patients with SDH generally recovered well; however, serious sequela might occur.

原文English
頁(從 - 到)133-138
頁數6
期刊Cephalalgia
27
發行號2
DOIs
出版狀態Published - 2月 2007

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