Show simple item record

dc.contributor.authorAde, Swetha
dc.contributor.authorMoonis, Majaz
dc.date2022-08-11T08:08:33.000
dc.date.accessioned2022-08-23T15:58:55Z
dc.date.available2022-08-23T15:58:55Z
dc.date.issued2013-11-13
dc.date.submitted2015-11-25
dc.identifier.citationCase Rep Neurol Med. 2013;2013:913465. doi: 10.1155/2013/913465. Epub 2013 Nov 13. <a href="http://dx.doi.org/10.1155/2013/913465">Link to article on publisher's site</a>
dc.identifier.issn2090-6676 (Linking)
dc.identifier.doi10.1155/2013/913465
dc.identifier.pmid24324901
dc.identifier.urihttp://hdl.handle.net/20.500.14038/30546
dc.description.abstractBackground. Undiagnosed intracranial hypotension can result in several complications including subdural hematoma (SDH), subarachnoid hemorrhage (SAH), dural venous sinuses thrombosis (CVT), cranial nerve palsies, and stupor resulting from sagging of the brain. It is rare to see all the complications in one patient. Furthermore, imaging of the brain vasculature may reveal incidental asymptomatic small aneurysms. Given the combination of these imaging findings and a severe headache, the patients are often confused to have a primary subarachnoid hemorrhage. Case Report. We present a patient with spontaneous intracranial hypotension (SIH) who had an incidental ophthalmic artery aneurysm on MR imaging, and this presentation led to coiling of the aneurysm. The key aspect in the history "postural headaches" was missed, and this led to life threatening complications and unnecessary interventions. Revisiting the history and significant improvement in symptoms following an epidural blood patch resulted in the diagnosis of SIH. Conclusion. We strongly emphasize that appropriate history taking is the key in the diagnosis of SIH and providing timely treatment with an epidural blood patch could prevent potentially life threatening complications.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=24324901&dopt=Abstract">Link to Article in PubMed</a>
dc.rightsCopyright © 2013 Swetha Ade and Majaz Moonis. This is an open access article distributed under the <a href="http://creativecommons.org/licenses/by/3.0/">Creative Commons Attribution License</a>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/
dc.subjectNervous System Diseases
dc.subjectNeurology
dc.titleIntracranial hypotension with multiple complications: an unusual case report
dc.typeJournal Article
dc.source.journaltitleCase reports in neurological medicine
dc.source.volume2013
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1824&amp;context=faculty_pubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/822
dc.identifier.contextkey7880399
refterms.dateFOA2022-08-23T15:58:56Z
html.description.abstract<p>Background. Undiagnosed intracranial hypotension can result in several complications including subdural hematoma (SDH), subarachnoid hemorrhage (SAH), dural venous sinuses thrombosis (CVT), cranial nerve palsies, and stupor resulting from sagging of the brain. It is rare to see all the complications in one patient. Furthermore, imaging of the brain vasculature may reveal incidental asymptomatic small aneurysms. Given the combination of these imaging findings and a severe headache, the patients are often confused to have a primary subarachnoid hemorrhage.</p> <p>Case Report. We present a patient with spontaneous intracranial hypotension (SIH) who had an incidental ophthalmic artery aneurysm on MR imaging, and this presentation led to coiling of the aneurysm. The key aspect in the history "postural headaches" was missed, and this led to life threatening complications and unnecessary interventions. Revisiting the history and significant improvement in symptoms following an epidural blood patch resulted in the diagnosis of SIH.</p> <p>Conclusion. We strongly emphasize that appropriate history taking is the key in the diagnosis of SIH and providing timely treatment with an epidural blood patch could prevent potentially life threatening complications.</p>
dc.identifier.submissionpathfaculty_pubs/822
dc.contributor.departmentDepartment of Neurology
dc.source.pages913465


Files in this item

Thumbnail
Name:
913465.pdf
Size:
2.296Mb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record

Copyright © 2013 Swetha Ade and Majaz Moonis. This is an open access article distributed under the <a href="http://creativecommons.org/licenses/by/3.0/">Creative Commons Attribution License</a>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's license is described as Copyright © 2013 Swetha Ade and Majaz Moonis. This is an open access article distributed under the <a href="http://creativecommons.org/licenses/by/3.0/">Creative Commons Attribution License</a>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.