| 篇名 |
Recurrent chronic subdural hemorrhage due to cervical spinal CSF leak in a young adult: Report of a case |
| 作者 |
Jui-Sheng Chen, I-Chang Su, Meng-Fai Kuo, Dar-Ming Lai, Yong-Kwang Tu, Shih-Hung Yang* |
| 卷期/出版年月 |
44卷5期 (2011/10) |
| 頁次 |
199-201 |
| 摘要 |
Nontraumatic intracranial subdural hemorrhage may result from disorders at
remote anatomic sites. Here, we report a young adult who suffered from bilateral subdural
hematoma without antecedent head injury. The subdural hematoma did not resolve after
surgical drainage. The symptom of postural headache prompted a contrast-enhanced magnetic
resonance imaging (MRI) examination of the brain, which revealed signs indicative of intracranial
hypotension. Subsequently, MRI of the spine demonstrated leakage of cerebrospinal fluid
(CSF) in the upper cervical spine region. The patient recovered after conservative treatment.
A review of the patient’s medical history revealed that the patient had chiropractic therapy on
his neck 2 months prior to admission. Intracranial hypotension due to spinal CSF leak is a rare
cause of subdural hemorrhage, yet it should be considered in the absence of head trauma. |
| 關鍵詞 |
chiropractic;intracranial hypotension;spinal cerebrospinal fluid leak;subdural hemorrhage |
| 分類 |
Case Report |
