The domino effect of acephalgic spontaneous intracranial hypotension
Spontaneous intracranial hypotension results from a spinal CSF leak and usually presents with orthostatic headache, although acephalgic presentations have anecdotally been reported. The underlying low CSF volume, rarely, leads to serious complications such as cerebral venous thrombosis and coma. We...
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| Veröffentlicht in: | Neurological sciences 2021, Vol.42 (1), p.309-312 |
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| creator | Pensato, Umberto Giammello, Fabrizio Baldini, Tommaso Zaniboni, Anna Piccolo, Laura Arnone, Giorgia Gentile, Mauro Cirillo, Luigi Simonetti, Luigi Isceri, Salvatore Zini, Andrea |
| description | Spontaneous intracranial hypotension results from a spinal CSF leak and usually presents with orthostatic headache, although acephalgic presentations have anecdotally been reported. The underlying low CSF volume, rarely, leads to serious complications such as cerebral venous thrombosis and coma. We report a patient presenting with cerebral venous thrombosis secondary to acephalgic spontaneous intracranial hypotension. An epidural blood patch was performed; nonetheless, the patient intracracal condition deteriorated to coma and neuroimages showed a deep brain swelling with midbrain distortion, subsequently complicated by intracranial pontine hemorrhage. |
| doi_str_mv | 10.1007/s10072-020-04755-1 |
| format | Article |
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The underlying low CSF volume, rarely, leads to serious complications such as cerebral venous thrombosis and coma. We report a patient presenting with cerebral venous thrombosis secondary to acephalgic spontaneous intracranial hypotension. An epidural blood patch was performed; nonetheless, the patient intracracal condition deteriorated to coma and neuroimages showed a deep brain swelling with midbrain distortion, subsequently complicated by intracranial pontine hemorrhage.</description><identifier>ISSN: 1590-1874</identifier><identifier>EISSN: 1590-3478</identifier><identifier>DOI: 10.1007/s10072-020-04755-1</identifier><identifier>PMID: 32989589</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Blood Patch, Epidural ; Brief Communication ; Cerebrospinal fluid ; Coma ; Headache - therapy ; Hemorrhage ; Humans ; Hypotension ; Intracranial Hypotension - complications ; Intracranial Hypotension - diagnostic imaging ; Intracranial Thrombosis ; Medicine ; Medicine & Public Health ; Mesencephalon ; Neurology ; Neuroradiology ; Neurosciences ; Neurosurgery ; Psychiatry ; Spine ; Thrombosis</subject><ispartof>Neurological sciences, 2021, Vol.42 (1), p.309-312</ispartof><rights>Fondazione Società Italiana di Neurologia 2020</rights><rights>Fondazione Società Italiana di Neurologia 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-314f4c793ca88b4f5a1a7d54ec8a34052de65ca5d1ed9b5d569432d974b4ae0a3</citedby><cites>FETCH-LOGICAL-c375t-314f4c793ca88b4f5a1a7d54ec8a34052de65ca5d1ed9b5d569432d974b4ae0a3</cites><orcidid>0000-0003-1486-4507</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10072-020-04755-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10072-020-04755-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27906,27907,41470,42539,51301</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32989589$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pensato, Umberto</creatorcontrib><creatorcontrib>Giammello, Fabrizio</creatorcontrib><creatorcontrib>Baldini, Tommaso</creatorcontrib><creatorcontrib>Zaniboni, Anna</creatorcontrib><creatorcontrib>Piccolo, Laura</creatorcontrib><creatorcontrib>Arnone, Giorgia</creatorcontrib><creatorcontrib>Gentile, Mauro</creatorcontrib><creatorcontrib>Cirillo, Luigi</creatorcontrib><creatorcontrib>Simonetti, Luigi</creatorcontrib><creatorcontrib>Isceri, Salvatore</creatorcontrib><creatorcontrib>Zini, Andrea</creatorcontrib><title>The domino effect of acephalgic spontaneous intracranial hypotension</title><title>Neurological sciences</title><addtitle>Neurol Sci</addtitle><addtitle>Neurol Sci</addtitle><description>Spontaneous intracranial hypotension results from a spinal CSF leak and usually presents with orthostatic headache, although acephalgic presentations have anecdotally been reported. 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An epidural blood patch was performed; nonetheless, the patient intracracal condition deteriorated to coma and neuroimages showed a deep brain swelling with midbrain distortion, subsequently complicated by intracranial pontine hemorrhage.</description><subject>Blood Patch, Epidural</subject><subject>Brief Communication</subject><subject>Cerebrospinal fluid</subject><subject>Coma</subject><subject>Headache - therapy</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Hypotension</subject><subject>Intracranial Hypotension - complications</subject><subject>Intracranial Hypotension - diagnostic imaging</subject><subject>Intracranial Thrombosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mesencephalon</subject><subject>Neurology</subject><subject>Neuroradiology</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Psychiatry</subject><subject>Spine</subject><subject>Thrombosis</subject><issn>1590-1874</issn><issn>1590-3478</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwBxhQJBaWgD9re0TlU6rEUmbLcZw2VWIHOxn673FJAYmBxWfpnnvv9ABwieAtgpDfxf2Lc4hhDilnLEdHYIqYhDmhXBwf_khwOgFnMW4hhIgicgomBEshmZBT8LDa2Kz0be18ZqvKmj7zVaaN7Ta6Wdcmi513vXbWDzGrXR-0CdrVusk2u8731sXau3NwUukm2otDnYH3p8fV4iVfvj2_Lu6XuSGc9TlBtKKGS2K0EAWtmEaal4xaIzShkOHSzpnRrES2lAUr2VxSgkvJaUG1hZrMwM2Y2wX_MdjYq7aOxjbNeJ_ClHICBaEsodd_0K0fgkvXJYpLxlMqThQeKRN8jMFWqgt1q8NOIaj2dtXoWCXH6suxQmno6hA9FK0tf0a-pSaAjEBMLbe24Xf3P7Gfq3KG1g</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Pensato, Umberto</creator><creator>Giammello, Fabrizio</creator><creator>Baldini, Tommaso</creator><creator>Zaniboni, Anna</creator><creator>Piccolo, Laura</creator><creator>Arnone, Giorgia</creator><creator>Gentile, Mauro</creator><creator>Cirillo, Luigi</creator><creator>Simonetti, Luigi</creator><creator>Isceri, Salvatore</creator><creator>Zini, Andrea</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9-</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1486-4507</orcidid></search><sort><creationdate>2021</creationdate><title>The domino effect of acephalgic spontaneous intracranial hypotension</title><author>Pensato, Umberto ; 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The underlying low CSF volume, rarely, leads to serious complications such as cerebral venous thrombosis and coma. We report a patient presenting with cerebral venous thrombosis secondary to acephalgic spontaneous intracranial hypotension. An epidural blood patch was performed; nonetheless, the patient intracracal condition deteriorated to coma and neuroimages showed a deep brain swelling with midbrain distortion, subsequently complicated by intracranial pontine hemorrhage.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32989589</pmid><doi>10.1007/s10072-020-04755-1</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-1486-4507</orcidid></addata></record> |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Blood Patch, Epidural Brief Communication Cerebrospinal fluid Coma Headache - therapy Hemorrhage Humans Hypotension Intracranial Hypotension - complications Intracranial Hypotension - diagnostic imaging Intracranial Thrombosis Medicine Medicine & Public Health Mesencephalon Neurology Neuroradiology Neurosciences Neurosurgery Psychiatry Spine Thrombosis |
| title | The domino effect of acephalgic spontaneous intracranial hypotension |
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