Spontaneous intracranial hypotension complicated by cerebral venous thrombosis.

Citation data:

Radiology case reports, ISSN: 1930-0433, Vol: 13, Issue: 4, Page: 834-838

Publication Year:
2018
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PMID:
29955241
DOI:
10.1016/j.radcr.2018.05.014
Author(s):
Fujii, Nana; Fujii, Hiroyuki; Fujita, Akifumi; Kim, Younhee; Sugimoto, Hideharu
Publisher(s):
Elsevier BV
Tags:
Medicine
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article description
Spontaneous intracranial hypotension (SIH) is a well-known cause of orthostatic headache. Although subdural fluid collection is a usual complication of SIH, SIH as a risk factor for cerebral venous thrombosis (CVT) is not well-known. There are several mechanisms that could contribute to the development of CVT in SIH. Herein, we report a case of a 33-year-old woman with SIH complicated by CVT. She was treated with anticoagulation but did not receive a blood patch for the SIH, because there was resolution of orthostatic headache with bed rest and sufficient hydration. Follow-up magnetic resonance imaging showed resolution of the findings of SIH and CVT. Patients with SIH should be closely observed for any change in the headache pattern, which might suggest the development of CVT.