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Chronic Subdural Hematoma Masquerading as Intracranial Hypotension
Brandon Sharkey1, Vito Lucarelli1, Ethan Kosco1
1Department of Neurological Surgery, University of Toledo College of Medicine and Life Sciences, Toledo, USA.
Cureus
|September 8, 2025
Summary
Spontaneous intracranial hypotension (SIH), caused by cerebrospinal fluid leaks, can lead to subdural hematomas (SDHs). A unique case highlights the potential of middle meningeal artery embolization for treating SDH in SIH patients.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Spontaneous intracranial hypotension (SIH) arises from cerebrospinal fluid (CSF) leaks, affecting approximately 5 per 100,000 person-years.
- Clinical manifestations range from postural headaches to subdural hematomas (SDHs), with underlying pathophysiology still under investigation.
- Current diagnostic standards, CT myelogram and pan-spine MRI, exhibit variable sensitivity for SIH and SDH detection.
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