TY - JOUR
T1 - The domino effect of acephalgic spontaneous intracranial hypotension
AU - Pensato, Umberto
AU - Giammello, Fabrizio
AU - Baldini, Tommaso
AU - Zaniboni, Anna
AU - Piccolo, Laura
AU - Arnone, Giorgia
AU - Gentile, Mauro
AU - Cirillo, Luigi
AU - Simonetti, Luigi
AU - Isceri, Salvatore
AU - Zini, Andrea
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
KW - Cerebral venous thrombosis
KW - CSF leak
KW - Deep brain swelling
KW - Epidural blood patch
KW - Midbrain swelling
KW - Orthostatic headache
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U2 - 10.1007/s10072-020-04755-1
DO - 10.1007/s10072-020-04755-1
M3 - Article
AN - SCOPUS:85091605583
JO - Neurological Sciences
JF - Neurological Sciences
SN - 1590-1874
ER -