Spontaneous Intracranial Hypotension Associated With Bilateral Chronic Subdural Hematomas
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概要
- 論文の詳細を見る
A 34-year-old female presented with spontaneous intracranial hypotension(SIH)manifesting as severe postural headache and meningism. Magnetic resonance(MR)imaging with gadolinium showed diffuse pachymeningeal enhancement. She developed bilateral chronic subdural hematomas 4 weeks after the onset of the symptoms. MR imaging showed descent of the midline structures of the brain. The bilateral chronic subdural hematomas were surgically drained, with no remarkable pressure. Postoperative MR imaging showed complete resolution of the pachymeningeal enhancement and reelevation of the mid-line structures of the brain. SIH is an uncommon and probably unrecognized condition because of the usually benign course. However, this case emphasizes that SIH is not entirely benign. SIH should be considered if there is no identifiable risk for intracranial hemorrhage, particularly in young patients. Neurosurgical intervention for the treatment of the underlying cerebrospinal fluid leak may be required if SIH persists.
- 日本脳神経外科学会の論文
- 2000-09-15
著者
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MATSUNO Akira
Department of Neurosurgery, Teikyo University Chiba Medical Center
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MURAKAMI Mineko
Department of Neurosurgery, Teikyo University Chiba Medical Center
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Nagashima Tadashi
Department of Neurosurgery, Teikyo University Ichihara Hospital
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Matsuno A
Department Of Neurosurgery Teikyo University Ichihara Hospital
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Matsuno Akira
帝京大学ちば総合医療センター 脳神経外科
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Murakami Mineko
Departments Of Neurosurgery Teikyo University Ichihara Hospital
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Murakami Mineko
Department Of Neurosurgery Ichihara Hospital Teikyo University School Of Medicine
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Matsuno Akira
Department Of Biological Science Faculty Of Life And Environmental Science Shimane University
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Matsuno Akira
Department Of Neurosurgery Teikyo University Chiba Medical Center
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Matsuno Akira
Department Of Life Science Graduate School Of Natural Science And Technology Kanazawa University
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MORIKAWA Kentaro
Departments of Neurosurgery Teikyo University Ichihara Hospital
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KANEDA Kenshi
Departments of Neurology, Teikyo University Ichihara Hospital
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Nagashima Tadashi
Department Of Baioscience And Biotechnology Shinshu University
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Aida Masato
Department Of Life Science Graduate School Of Natural Science And Technology Kanazawa University
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Kaneda Kenshi
Departments Of Neurology Teikyo University Ichihara Hospital
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Matsuno Akira
Department Of Neurosurger Teikyo University Chiba Medical Center
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Murakami Mineko
Department Of Neurosurger Teikyo University Chiba Medical Center
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