Sinnaeve Leen, Vanopdenbosch Ludo, Paemeleire Koen
Department of Neurology, University Hospitals Leuven, Leuven, Belgium; Department of Neurology, AZ Sint Jan Brugge-Oostende, Bruges, Belgium.
Department of Neurology, AZ Sint Jan Brugge-Oostende, Bruges, Belgium.
J Stroke Cerebrovasc Dis. 2017 Aug;26(8):e165-e169. doi: 10.1016/j.jstrokecerebrovasdis.2017.05.015. Epub 2017 Jun 13.
Cerebral venous thrombosis is a rare complication of intracranial hypotension. We describe 3 cases in which this phenomenon occurred, as a result of a lumbar puncture or due to a spontaneous cerebrospinal fluid leak. We emphasize the importance of early detection of the intracranial hypotension syndrome, the most common clinical manifestation being orthostatic headache. It is not an innocent condition as it is associated with other potential complications such as subdural hygroma/hematoma, cranial nerve palsies, cerebellar tonsillar descent, and even brainstem manifestations. Any change in the typical features of the syndrome should lead to further investigation. Repeat cerebral imaging is important in that situation, including ruling out cerebral venous thrombosis.
脑静脉血栓形成是颅内低压的一种罕见并发症。我们描述了3例出现这种现象的病例，其原因是腰椎穿刺或自发性脑脊液漏。我们强调早期发现颅内低压综合征的重要性，其最常见的临床表现是体位性头痛。这并非一种无害的病症，因为它与其他潜在并发症相关，如硬膜下积液/血肿、颅神经麻痹、小脑扁桃体下疝，甚至脑干表现。该综合征典型特征的任何变化都应促使进一步检查。在这种情况下，重复进行脑部成像很重要，包括排除脑静脉血栓形成。
