Annals of Indian Academy of Neurology
  Users Online: 152 Home | About the Journal | InstructionsCurrent Issue | Back IssuesLogin      Print this page Email this page  Small font size Default font size Increase font size
CASE REPORT
Year : 2013  |  Volume : 16  |  Issue : 1  |  Page : 94-96

Spontaneous intracranial hypotension with bilateral subdural hemorrhage: Is conservative management adequate?


1 Department of Neurology, National Neuroscience Institute (SGH campus), Singapore
2 Department of Diagnostic Radiology, National Neuroscience Institute (SGH campus), Singapore

Correspondence Address:
Mohammed Tauqeer Ahmad
Department of Neurology, Singapore General Hospital, Outram Road, 169608
Singapore
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.107709

Rights and Permissions

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.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2930    
    Printed54    
    Emailed0    
    PDF Downloaded46    
    Comments [Add]    

Recommend this journal