Erschienen in:
29.09.2020 | Brief Communication
The domino effect of acephalgic spontaneous intracranial hypotension
verfasst von:
Umberto Pensato, Fabrizio Giammello, Tommaso Baldini, Anna Zaniboni, Laura Piccolo, Giorgia Arnone, Mauro Gentile, Luigi Cirillo, Luigi Simonetti, Salvatore Isceri, Andrea Zini
Erschienen in:
Neurological Sciences
|
Ausgabe 1/2021
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Abstract
Spontaneous intracranial hypotension results from a spinal CSF leak and usually presents with orthostatic headache, although acephalgic presentations have anecdotally been reported. The underlying low CSF volume, rarely, leads to serious complications such as cerebral venous thrombosis and coma. We report a patient presenting with cerebral venous thrombosis secondary to acephalgic spontaneous intracranial hypotension. An epidural blood patch was performed; nonetheless, the patient intracracal condition deteriorated to coma and neuroimages showed a deep brain swelling with midbrain distortion, subsequently complicated by intracranial pontine hemorrhage.