Wang Hao-Kuang, Liliang Po-Chou, Liang Cheng-Loong, Lu Kang, Hung Kuo-Chuan, Chen Han-Jung
Department of Neurosurgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.
Neurol Med Chir (Tokyo). 2010;50(6):479-81. doi: 10.2176/nmc.50.479.
A 51-year-old woman presented with a rare case of spontaneous intracranial hypotension (SIH) complicated by a delayed subdural hematoma (SDH) that required surgical evacuation 2 months after epidural blood patching (EBP). Subdural fluid collections are common among patients with SIH. These fluid collections vary in appearance from thin subdural hygromas to rare large SDHs associated with significant mass effect. Most subdural fluid collections can be safely managed by conservative treatment or EBP. The present clinical course and imaging findings illustrate the possible sequential complications of EBP in patients with SIH.
一名51岁女性出现罕见的自发性颅内低压（SIH）病例，并发延迟性硬膜下血肿（SDH），在硬膜外血贴（EBP）2个月后需要手术清除血肿。硬膜下积液在SIH患者中很常见。这些积液的外观各不相同，从稀薄的硬膜下积液到罕见的伴有明显占位效应的大SDH。大多数硬膜下积液可通过保守治疗或EBP安全处理。目前的临床病程和影像学表现说明了SIH患者EBP可能出现的相继并发症。
