| CASE REPORT |
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| Year : 2013 | Volume
: 16
| Issue : 1 | Page : 94-96 |
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Spontaneous intracranial hypotension with bilateral subdural hemorrhage: Is conservative management adequate?
Mohammed Tauqeer Ahmad1, Shahul Hameed1, Kei Pin Lin2, Kumar M Prakash1
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
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-2327.107709
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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. |
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