Journals / Ağrı / 2015 / Cilt: 27 - Sayı: 3

Koma ile prezente olan spontan intrakraniyal hipotansiyon: Olgu sunumu ve literatürün gözden geçirilmesi

Spontaneous intracranial hypotension presenting with coma: a case report and literature review

Journal
Ağrı
Pages
160–162
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

He was diag- nosed with spontaneous intracranial hypotension according to cerebrospinal fluid pressure and neuroimaging findings, and treated conservatively.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Spontaneous intracranial hypotension is characterized by orthostatic headache in the absence of a history of head trauma or lumbar puncture, and diagnosis is confirmed by a specific cerebrospinal fluid pressure and neuroimaging findings.
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Key Findings & Data:A 62-year-old man presented with progressive cognitive decline of 2 to 4 weeks’ duration.
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Conclusion & Impact:He was diag- nosed with spontaneous intracranial hypotension according to cerebrospinal fluid pressure and neuroimaging findings, and treated conservatively.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Spontaneous intracranial hypotension is characterized by orthostatic headache in the absence of a history of head trauma or lumbar puncture, and diagnosis is confirmed by a specific cerebrospinal fluid pressure and neuroimaging findings. It rarely presents with coma. A 62-year-old man presented with progressive cognitive decline of 2 to 4 weeks’ duration. He was diag- nosed with spontaneous intracranial hypotension according to cerebrospinal fluid pressure and neuroimaging findings, and treated conservatively.

Özet

Spontan intrakraniyal hipotansiyon (SİH) kafa travması ve lomber ponksiyon öyküsü olmaksızın ortastatik başağrısı, beyin omurilik sıvısı (BOS) basınç değişikliği ve sinir sistemi görüntülemesi ile karakterize bir tablodur. Altmış iki yaşında iki–dört hafta içinde ilerleyici kognitif yıkımla prezente olan erkek hastaya BOS basıncı ve sinir sistemi görüntülemesi sonuçlarına gore SİH tanısı konuldu ve konservatif olarak tedavisi yapıldı. Spontan intrakraniyal hipotansiyon oldukça nadir olarak koma ile de prezente olabilir.

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Cite This Article

ÇELİK, Y., TEKATAŞ, A., ALBAYRAM, S., GÜNDÜZ, A., ASİL, T., ÜNLÜ, E., ÖZLECE, H. K. (2015). Koma ile prezente olan spontan intrakraniyal hipotansiyon: Olgu sunumu ve literatürün gözden geçirilmesi. Ağrı, Cilt: 27 - Sayı: 3, 160–162. https://ajindex.com/articles/158166

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References (10)

  1. Mokri B. Cerebrospinal fluid volume depletion and its emerging clinical/imaging syndromes. Neurosurg Focus 2000;9(1):e6
  2. Whiteley W, Al-Shahi R, Myles L, Lueck CJ. Spontaneous intracranial hypotension causing confusion and coma: a headache for the neurologist and the neurosurgeon. Br J Neurosurg 2003;17(5):456-8
  3. Binder DK, Dillon WP, Fishman RA, Schmidt MH. Intrathecal saline infusion in the treatment of obtundation associated with spontaneous intracranial hypotension: technical case report. Neurosurgery 2002;51(3):830-7
  4. Kashmere JL, Jacka MJ, Emery D, Gross DW. Reversible coma: a rare presentation of spontaneous intracranial hy- potension. Can J Neurol Sci 2004;31(4):565-8
  5. Mathew L, Komotar R. Epidural blood patch for severe post- operative intracranial hypotension. J Neurosurg Anesthe- siol 2008;20(1):49-52
  6. Schievink WI, Moser FG, Pikul BK. Reversal of coma with an injection of glue. Lancet 2007;369(9570):1402
  7. Sayer FT, Bodelsson M, Larsson EM, Romner B. Spontane- ous intracranial hypotension resulting in coma: case report. Neurosurgery 2006;59(1):E204
  8. Shrikrishna D, Green C, Wood D, Handel J. Life-threatening spontaneous intracranial hypotension responding to epi- dural blood patch. Br J Anaesth 2006;97(5):750
  9. Kremer S, Taillandier L, Schmitt E, Bologna S, Moret C, Picard L, et al. Atypical clinical presentation of intracranial hypo- tension: coma.J Neurol 2005;252(11):1399-400
  10. Savoiardo M, Minati L, Farina L, De Simone T, Aquino D, Mea E, et al. Spontaneous intracranial hypotension with deep brain swelling. Brain 2007;130(Pt 7):1884-93.