Spontaneous Intracranial Hypotension: An Etiology for Consciousness Disorder and Coma.

Date publication

novembre 2016

Journal

A & A case reports

Auteurs

Membres identifiés du Cancéropôle Est :
Dr CEBULA Hélène , Pr PROUST François

Tous les auteurs :
Collange O, Wolff V, Cebula H, Pradignac A, Meyer A, Kindo M, Diemunsch P, Proust F, Mertes PM, Kremer S

Lien Pubmed

https://www.ncbi.nlm.nih.gov/pubmed/27552236

Résumé

We report 3 cases of spontaneous intracranial hypotension (SIH) associated with consciousness disorder and coma. In patients, SIH was suspected on a computed tomography scan and diagnosed by cerebral magnetic resonance imaging (MRI). Spinal MRI confirmed cerebrospinal fluid leakage. SIH should be seen as an underestimated cause of consciousness disorder and coma, especially in patients with a history of orthostatic headache, spinal injury, or oculomotor signs. Computed tomography scans should be examined for signs of SIH before operating on patients with a spontaneous subdural hematoma. Brain and spine MRI should be performed when SIH is suspected. Our 3 patients have shown good recovery without any neurological sequelae.

Mots clés

Cerebrospinal Fluid Leak, complications, Coma, diagnostic imaging, Consciousness Disorders, diagnostic imaging, Humans, Intracranial Hypotension, diagnostic imaging, Male, Middle Aged

Référence

A A Case Rep. 2016 11 15;7(10):207-211