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Spontaneous Intracranial Hypotension Presenting as Mental Deterioration
Author(s) -
Tsai PingHuang,
Wang ShuuJiun,
Lirng JiingFeng,
Fuh JongLing
Publication year - 2005
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.2005.t01-1-05013.x
Subject(s) - spontaneous intracranial hypotension , confusion , medicine , epidural blood patch , altered mental status , intracranial hypotension , cerebrospinal fluid , cerebrospinal fluid leakage , magnetic resonance imaging , anesthesia , hematoma , radiology , surgery , pediatrics , psychology , psychoanalysis
A 55‐year‐old woman had new onset of postural headache followed by change of mental status 3 weeks later. Magnetic resonance imaging (MRI) of the brain and whole spine showed typical spontaneous intracranial hypotension (SIH) findings, bilateral subdural hematoma, and cerebrospinal fluid leakage over the T7–T9. Her headache and mentality improved after epidural blood patches. Early recognition and correct diagnosis are crucial for successful treatment in patients with SIH presenting with mental confusion.