Nakajima H, Sakai T, Aoki N, Takakura K
Department of Neurosurgery, Tokyo Women's Medical College.
Neurol Med Chir (Tokyo). 1996 Sep;36(9):647-9. doi: 10.2176/nmc.36.647.
A 56-year-old female presented with chronic subdural hematoma due to spontaneous (primary) intracranial hypotension (SIH). She was admitted in a deep coma. Computed tomography showed bilateral chronic subdural hematomas with tight basal cisterns. Percutaneous aspiration of the chronic subdural hematoma with the twist drill revealed negative pressure. The neurological symptoms rapidly improved postoperatively, but the chronic subdural hematoma recurred three times, requiring further aspiration procedures. Patients with SIH may develop subdural hematoma requiring surgical treatment.
一名56岁女性因自发性（原发性）颅内低压（SIH）出现慢性硬膜下血肿。她入院时处于深度昏迷状态。计算机断层扫描显示双侧慢性硬膜下血肿伴基底池狭窄。用手摇钻经皮抽吸慢性硬膜下血肿显示为负压。术后神经症状迅速改善，但慢性硬膜下血肿复发了三次，需要进一步的抽吸治疗。SIH患者可能会出现需要手术治疗的硬膜下血肿。
