Spontaneous intracranial hypotension in young and middle-aged patients with chronic subdual hematoma in Korea: three case reports

This case series highlights chronic subdural hematoma in previously healthy young and middle-aged patients, where symptoms persisted despite initial surgical intervention. Subsequent diagnosis revealed spontaneous intracranial hypotension through computed tomography myelography. All patients experie...

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Main Authors: Ae Ryoung Lee, Yun Suk Choi
Format: Article
Language:English
Published: Korean Society of Traumatology 2024-09-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://jtraumainj.org/upload/pdf/jti-2024-0008.pdf
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author Ae Ryoung Lee
Yun Suk Choi
author_facet Ae Ryoung Lee
Yun Suk Choi
author_sort Ae Ryoung Lee
collection DOAJ
description This case series highlights chronic subdural hematoma in previously healthy young and middle-aged patients, where symptoms persisted despite initial surgical intervention. Subsequent diagnosis revealed spontaneous intracranial hypotension through computed tomography myelography. All patients experienced symptom relief after undergoing epidural blood patch. In conclusion, spontaneous intracranial hypotension should be considered in chronic subdural hematoma cases without trauma or underlying disease, with epidural blood patch recommended before surgical intervention if spontaneous intracranial hypotension is suspected.
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spelling doaj-art-f7769a977c0b4f75bcf267042c82b17d2025-01-16T06:10:27ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832024-09-0137322823210.20408/jti.2024.00081316Spontaneous intracranial hypotension in young and middle-aged patients with chronic subdual hematoma in Korea: three case reportsAe Ryoung Lee0Yun Suk Choi1 Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Jeju National College of Medicine, Jeju, Korea Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Jeju National College of Medicine, Jeju, KoreaThis case series highlights chronic subdural hematoma in previously healthy young and middle-aged patients, where symptoms persisted despite initial surgical intervention. Subsequent diagnosis revealed spontaneous intracranial hypotension through computed tomography myelography. All patients experienced symptom relief after undergoing epidural blood patch. In conclusion, spontaneous intracranial hypotension should be considered in chronic subdural hematoma cases without trauma or underlying disease, with epidural blood patch recommended before surgical intervention if spontaneous intracranial hypotension is suspected.http://jtraumainj.org/upload/pdf/jti-2024-0008.pdfheadachesubdural hematomaintracranial hypotensionepidural blood patchcase reports
spellingShingle Ae Ryoung Lee
Yun Suk Choi
Spontaneous intracranial hypotension in young and middle-aged patients with chronic subdual hematoma in Korea: three case reports
Journal of Trauma and Injury
headache
subdural hematoma
intracranial hypotension
epidural blood patch
case reports
title Spontaneous intracranial hypotension in young and middle-aged patients with chronic subdual hematoma in Korea: three case reports
title_full Spontaneous intracranial hypotension in young and middle-aged patients with chronic subdual hematoma in Korea: three case reports
title_fullStr Spontaneous intracranial hypotension in young and middle-aged patients with chronic subdual hematoma in Korea: three case reports
title_full_unstemmed Spontaneous intracranial hypotension in young and middle-aged patients with chronic subdual hematoma in Korea: three case reports
title_short Spontaneous intracranial hypotension in young and middle-aged patients with chronic subdual hematoma in Korea: three case reports
title_sort spontaneous intracranial hypotension in young and middle aged patients with chronic subdual hematoma in korea three case reports
topic headache
subdural hematoma
intracranial hypotension
epidural blood patch
case reports
url http://jtraumainj.org/upload/pdf/jti-2024-0008.pdf
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AT yunsukchoi spontaneousintracranialhypotensioninyoungandmiddleagedpatientswithchronicsubdualhematomainkoreathreecasereports