Clinical Neurology and Neurosurgery
Volume 112, Issue 6 , Pages 498-500, July 2010

Spontaneous intracranial hypotension followed by dural sinus thrombosis: A case report

  • Jana Ivanidze

      Affiliations

    • Ludwig Maximilians University of Munich, Geschwister-Scholl-Platz 1, Munich, Germany
    • Corresponding Author InformationCorresponding author. Tel.: +49 1799180607.
    • ,
  • Robert D. Zimmerman

      Affiliations

    • Department of Radiology, NewYork-Presbyterian Hospital, Weill Medical College of Cornell University, 520 E 70th St., New York, NY 10021, United States
    • ,
  • Pina C. Sanelli

      Affiliations

    • Department of Radiology, NewYork-Presbyterian Hospital, Weill Medical College of Cornell University, 520 E 70th St., New York, NY 10021, United States
    • Department of Public Health, NewYork-Presbyterian Hospital, Weill Medical College of Cornell University, 520 E 70th St., New York, NY 10021, United States

Received 25 August 2009; received in revised form 24 January 2010; accepted 31 January 2010.

Abstract 

SIH is an underdiagnosed condition with variable clinical and radiological presentations that leads to engorged dural sinuses and promotes stasis predisposing for dural sinus thrombosis (DST). We describe a young female patient who presented with clinical and imaging signs of SIH alone followed by a superimposed DST 10 days later. We discuss the pathophysiological mechanisms that may have led to this constellation, and review the literature to-date along with diagnostic and management implications.

Keywords: Spontaneous intracranial hypotension, Dural sinus thrombosis

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PII: S0303-8467(10)00032-6

doi:10.1016/j.clineuro.2010.01.010

Clinical Neurology and Neurosurgery
Volume 112, Issue 6 , Pages 498-500, July 2010

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