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Delayed subdural hematoma and cerebral venous thrombosis in a patient with spontaneous intracranial hypotension.

机译:自发性颅内低血压患者的迟发性硬脑膜下血肿和脑静脉血栓形成。

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摘要

Spontaneous low cerebrospinal fluid (CSF) pressure syndrome, first described by Schaltenbrand in 1938 [1], is an uncommon but increasingly recognized disease. This syndrome is defined by CSF pressures of 70 mmH_2O or less in the lateral position and no history of injuries. Severe complications of this syndrome such as subdural hemorrhage (SDH) and cerebral venous thromboses (CVT) have been rarely reported. In this letter, we discuss a case of this syndrome accompanied by both SDH and CVT.A 34-year-old man presented with diffuse holocranial headache and no history of injuries on 27 September 2007. The pain resolved on recumbency and occurred while sitting and standing, and was relieved in 1 day. The patient again developed orthostatic headache 6 days later which was more severe than the first headache. A computed tomography (CT) scan indicated abnormal superior sagittal sinus (SSS) and straight sinus (Fig. la).
机译:自发性低脑脊髓液(CSF)压力综合征由沙尔滕布兰德于1938年首次描述[1],是一种罕见但逐渐得到认可的疾病。该综合征由侧卧位CSF压力等于或小于70 mmH_2O且无受伤史定义。这种综合征的严重并发症如硬膜下出血(SDH)和脑静脉血栓形成(CVT)很少见。在这封信中,我们讨论了一例同时伴有SDH和CVT的综合症病例。一名34岁的男子于2007年9月27日出现弥漫性全颅性头痛,无受伤史。站立,并在1天内松了一口气。患者在6天后再次出现立位性头痛,比第一次头痛更为严重。计算机断层扫描(CT)扫描显示异常上矢状窦(SSS)和笔直窦(图1a)。

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