Spontaneous Intracranial Hypotension, a Possible Cause of Chronic Subdural Hematoma

Seung-Hwan Lee; Taek-Hyun Kwon; Sung-Kon Ha; Jong-Hyun Kim; Joo-Han Kim; Youn-Kwan Park

doi:10.13004/jknts.2011.7.1.35

Journal List > J Korean Neurotraumatol Soc > v.7(1) > 1084094

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Lee, Kwon, Ha, Kim, Kim, and Park: Spontaneous Intracranial Hypotension, a Possible Cause of Chronic Subdural Hematoma

Case Report

Journal of Korean Neurotraumatology Society 2011; 7(1): 35-38.

Published online: 30 April 2011

DOI: https://doi.org/10.13004/jknts.2011.7.1.35

Spontaneous Intracranial Hypotension, a Possible Cause of Chronic Subdural Hematoma

Seung-Hwan Lee, MD, Taek-Hyun Kwon, MD, Sung-Kon Ha, MD, Jong-Hyun Kim, MD, Joo-Han Kim, MD, Youn-Kwan Park, MD

Department of Neurosurgery, Guro Hospital, Korea University College of Medicine, Seoul, Korea.

Address for correspondence: Taek-Hyun Kwon, MD. Department of Neurosurgery, Guro Hospital, Korea University College of Medicine, 97 Gurodong-gil, Guro-gu, Seoul 152-703, Korea. Tel: +82-2-2626-3096, Fax: +82-2-863-1684, ns806@kumc.or.kr

Received 25 March 2011 Revised 29 March 2011 Accepted 13 April 2011

Abstract

Although spontaneous intracranial hypotension were previously thought to be rare, they are now documented with increasing incidence by work up using advanced imaging techniques. We report our experience of CSF hypovolemia syndrome presented with chronic subdural hematoma on 37-years old young adult who had no traumatic history. Even spontaneous intracranial hypotension is not rare but it remains misdiagnosed. Causes of chronic subdural hematoma is generally trauma, but we need to consider this etiology of possible cause of chronic subdural hematoma, especially if young adult who had no trauma history complainted head ache and there was chronic subdural hematoma on brain CT.

Keywords: Chronic subdural hematoma, Intracranial hypotension, CSF hypovolemia syndrome, Epidural blood patch, Subarachnoid hemorrhage, Orthostatic headache

Figures and Tables

FIGURE 1

A: Brain CT shows su-barachnoid hemorrhage in perimedullary and basal cistern. B: Brain CT shows bilateral chronic subdural hematoma.

FIGURE 2

Brain MRI revealed pachymeningeal gadolinium enhancement.

FIGURE 3

The saggital view of CT myelography shows CSF leak at C1/2 level.

Notes

The authors have no financial conflicts of interest.

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