| Title: |
Spontaneous intracranial hypotension associated with cerebral venous thrombosis detected by a sudden seizure: a case report |
| Authors: |
Atsuko Yamamoto; Yoshiyasu Hattammaru; Shoichi Uezono |
| Source: |
JA Clinical Reports, Vol 6, Iss 1, Pp 1-7 (2020) |
| Publisher Information: |
SpringerOpen, 2020. |
| Publication Year: |
2020 |
| Collection: |
LCC:Anesthesiology; LCC:Medical emergencies. Critical care. Intensive care. First aid |
| Subject Terms: |
Spontaneous intracranial hypotension; Cerebral venous thrombosis; Epidural blood patch; Anesthesiology; RD78.3-87.3; Medical emergencies. Critical care. Intensive care. First aid; RC86-88.9 |
| Description: |
Abstract Background Spontaneous intracranial hypotension (SIH) is rare but can lead to life-threatening complications including cerebral venous thrombosis (CVT). The concurrence of CVT and SIH raises questions regarding priority. Case presentation We present the case of a 52-year-old woman who developed sudden left-sided hemiparesis and generalized tonic-clonic seizures. She experienced progressive orthostatic headaches over the prior 2 weeks. Imaging showed thrombosis in the left transverse and sigmoid sinuses, bilateral subdural hematomas, and a cervicothoracic cerebrospinal fluid leak. Low molecular weight heparin was administered, but it was discontinued 2 days later due to subarachnoid hemorrhage. She was transferred to our hospital where an epidural blood patch was applied immediately, which resulted in complete symptom relief. Conclusion CVT is a rare complication of SIH that may result in devastating consequences. Treatment of SIH should be the primary focus. Prompt diagnosis and EBP application can result in a good outcome. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2363-9024 |
| Relation: |
http://link.springer.com/article/10.1186/s40981-020-00362-3; https://doaj.org/toc/2363-9024 |
| DOI: |
10.1186/s40981-020-00362-3 |
| Access URL: |
https://doaj.org/article/963f298fff3a4e58acb4e4f4e0b80ef2 |
| Accession Number: |
edsdoj.963f298fff3a4e58acb4e4f4e0b80ef2 |
| Database: |
Directory of Open Access Journals |