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- Title
Spontaneous intracranial hypotension with bilateral subdural hemorrhage: Is conservative management adequate?
- Authors
Tauqeer Ahmad, Mohammed; Hameed, Shahul; Kei Pin Lin; Prakash, Kumar M.
- Abstract
The aim of this study is to report a case of spontaneous intracranial hypotension complicated by bilateral subdural hemorrhage that resolved with conservative management. A young male presented with severe orthostatic headache associated with dizziness, neck pain and diplopia. Brain imaging revealed characteristic pachymeningeal enhancement and bilateral subdural hemorrhage. Radionuclide cisternography confirmed the Cerebrospinal fluid leak at the cervical 5 and cervical 6 vertebral level. He had clinical and radiological resolution with bed rest, hydration and analgesics and has remained symptom free since then. Spontaneous intracranial hypotension may be complicated by bilateral subdural hemorrhage. A conservative treatment approach is a viable option, as it may help improve the clinical and radiological outcome, especially when interventional facilities are not available.
- Subjects
BRAIN; RADIOGRAPHY; SUBDURAL hematoma; PNEUMOENCEPHALOGRAPHY; BRAIN diseases; HYPOTENSION; MAGNETIC resonance imaging; DISEASE complications; DIAGNOSIS
- Publication
Annals of Indian Academy of Neurology, 2013, Vol 16, Issue 1, p94
- ISSN
0972-2327
- Publication type
Case Study
- DOI
10.4103/0972-2327.107709