Spontaneous Intracranial Hypotension Manifesting as Neurological Emergencies: Report of Three Cases
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概要
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Spontaneous intracranial hypotension (SIH) is a clinical syndrome in which hypovolemia of the cerebrospinal fluid results in various neurologic symptoms. Although most patients with SIH initially visit general practitioners complaining of persistent postural headache with gradual or subacute onset, some may visit the emergency department complaining of severe headache or neck pain of sudden onset, mimicking aneurysmal subarachnoid hemorrhage, cervical arterial dissection, or herniated cervical disc. Rarely, patients with SIH may present with a low-grade fever, mimicking viral meningitis. Three of fifteen patients with SIH who have been treated in our institution during the last four years presented to the emergency department with such acute, misguiding signs and symptoms. These three cases are presented to show tips and potential pitfalls in diagnosing SIH. Making an accurate diagnosis of SIH in emergency settings is often challenging, and requires combination of thorough history taking/neurologic examination, and accurate imaging study interpretation.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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