Clinical characteristics of 15 cases of chronic subdural hematomas due to spontaneous intracranial hypotension with spinal cerebrospinal fluid leak.

Abstract:

:The etiology of chronic subdural hematoma (CSDH) in patients is diverse. The primary objective of this article was to discuss one of the causes, spontaneous intracranial hypotension with spinal cerebrospinal fluid (CSF) leak, which is usually neglected by the neurosurgeon. All the consecutive 15 patients who underwent operation for CSDHs between June 2012 and June 2014 at Sir Run Run Shaw Hospital of Zhejiang University were included in this retrospective cohort study. The clinical and imaging data of these patients with CSDHs due to spinal CSF leak were retrospectively studied. Fifteen patients, with a mean age of 53.8 ± 8.3 years, underwent operations for CSDH. Hematomas were unilateral in 4 patients and bilateral in 11 patients. Among these patients, eight patients had recurrence of hematomas after operation due to neglect of spinal CSF leak. All patients had fully recovery. Spinal CSF leak is a cause of cSDH, which is overlooked by the doctor.

journal_name

Acta Neurol Belg

journal_title

Acta neurologica Belgica

authors

Wan Y,Xie J,Xie D,Xue Z,Wang Y,Yang S

doi

10.1007/s13760-016-0597-2

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

509-512

issue

4

eissn

0300-9009

issn

2240-2993

pii

10.1007/s13760-016-0597-2

journal_volume

116

pub_type

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