Chen Lili, Ying Guangyu, Peng Yucong
Department of Neurology Xiasha Campus, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine Zhejiang Hangzhou China.
Department of Neurosurgery The Second Affiliated Hospital, Zhejiang University School of Medicine Zhejiang Hangzhou China.
Clin Case Rep. 2025 Jul 14;13(7):e70619. doi: 10.1002/ccr3.70619. eCollection 2025 Jul.
Spontaneous intracranial hypotension should be considered in subdural hematoma cases without cerebral trauma or underlying disease, particularly among non-elderly patients. Targeted epidural blood patch is recommended as a first-line intervention prior to surgical management in cases of spontaneous intracranial hypotension-induced subdural hematoma.
对于无脑外伤或基础疾病的硬膜下血肿病例,尤其是非老年患者,应考虑自发性颅内低压。对于自发性颅内低压所致硬膜下血肿病例,在手术治疗前,推荐将靶向硬膜外血贴作为一线干预措施。