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Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
Published on: June 18, 2021
Subdural hematoma in spontaneous CSF hypovolemia
1Department of Neurology, Asan Medical Center, 388-1, Pungnap-dong, Songpa-gu, Seoul, 138-736, South Korea. sjchung@amc.seoul.kr
Neurology
|September 27, 2006
Summary
Spontaneous cerebrospinal fluid hypovolemia (SCH) can lead to subdural hematoma (SDH). Patients with SDH were older, male, and diagnosed later, but responded well to treatment.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Spontaneous cerebrospinal fluid hypovolemia (SCH) is a condition characterized by low cerebrospinal fluid pressure.
- Subdural hematoma (SDH) is a potential complication of SCH.
Purpose of the Study:
- To investigate the incidence and characteristics of subdural hematoma (SDH) in patients with spontaneous cerebrospinal fluid hypovolemia (SCH).
- To identify clinical and radiological features associated with SDH in SCH patients.
- To evaluate treatment outcomes for SDH in this population.
Main Methods:
- Retrospective analysis of 67 consecutive patients diagnosed with spontaneous cerebrospinal fluid hypovolemia (SCH).
- Comparison of demographic, clinical, and radiological data between patients with and without subdural hematoma (SDH).
- Review of treatment modalities and patient responses.
Main Results:
- 11 out of 67 (16.4%) patients with SCH developed subdural hematoma (SDH).
- Patients with SDH were significantly older (p = 0.005) and more likely to be male (p = 0.035).
- A longer time to diagnosis of SCH was observed in patients with SDH (p = 0.019).
- All SDH patients exhibited pseudo-subarachnoid hemorrhage findings on CT scans.
- Favorable responses to epidural blood patches and neurosurgical drainage were noted in all SDH patients.
Conclusions:
- Subdural hematoma (SDH) is a notable complication in patients with spontaneous cerebrospinal fluid hypovolemia (SCH).
- Older males with delayed SCH diagnosis are at higher risk for SDH.
- Characteristic CT findings and effective treatment options exist for SDH in the context of SCH.
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