자발성 두개강내 저압' 양측성 경막하 혈종 보고

초록

목적: spontanoeus intracranial hypotension is characterized by postural headache and low opening pressure at lumbar puncture without obvious cause. It's character is typical but it's quite difficult to diagnosis. We report a case with bilateral subdural hematoma(SDH) 대상: A 37-year old man was admitted to our hospital with sudden headache, both opthalmalia and posterior nuchal pain. The nature of his headache was continouw sqeezing , and changing his position to flat position provided pain relief. One week before his admission, he experiedncec continous cough and the rhinorrhae. during a few days. On admission, his neuological examination revealed no neurothickenng and intense contrast ehhancement of the dural mater and bilateral frontotemproal subdural fluid collection mixed with blood. Radioisotope cisternographu showed a leak of cerebrospinal fluid from near the lower lumbar vertebrae. 결과: After burr hole drainage, the headache was relieved. And follow up CT showed no bialteral SDH. Headache did not recur for 2 weeks after surgery. The continous cough before her admission may be the caude of the leak of cerebrospirnal fluid but it was unclear.