Subdural haematoma in patients with spontaneous intracranial hypotension
T-H Lai
Neurological Institute and
National Yang-Ming University School of Medicine, Taipei and
Yuanshan Veterans Hospital, Yilan, Taiwan
Search for more papers by this authorJ-L Fuh
Neurological Institute and
National Yang-Ming University School of Medicine, Taipei and
Search for more papers by this authorJ-F Lirng
Department of Radiology, Taipei Veterans General Hospital,
National Yang-Ming University School of Medicine, Taipei and
Search for more papers by this authorP-H Tsai
Neurological Institute and
National Yang-Ming University School of Medicine, Taipei and
Search for more papers by this authorCorresponding Author
S-J Wang
Neurological Institute and
National Yang-Ming University School of Medicine, Taipei and
Dr Shuu-Jiun Wang, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan 11217. Tel. + 886 2 2876 2522, fax + 886 2 2876 5215, e-mail [email protected]Search for more papers by this authorT-H Lai
Neurological Institute and
National Yang-Ming University School of Medicine, Taipei and
Yuanshan Veterans Hospital, Yilan, Taiwan
Search for more papers by this authorJ-L Fuh
Neurological Institute and
National Yang-Ming University School of Medicine, Taipei and
Search for more papers by this authorJ-F Lirng
Department of Radiology, Taipei Veterans General Hospital,
National Yang-Ming University School of Medicine, Taipei and
Search for more papers by this authorP-H Tsai
Neurological Institute and
National Yang-Ming University School of Medicine, Taipei and
Search for more papers by this authorCorresponding Author
S-J Wang
Neurological Institute and
National Yang-Ming University School of Medicine, Taipei and
Dr Shuu-Jiun Wang, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan 11217. Tel. + 886 2 2876 2522, fax + 886 2 2876 5215, e-mail [email protected]Search for more papers by this authorAbstract
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.
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