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J Stroke Cerebrovasc Dis ; 26(8): e165-e169, 2017 Aug.
Article in English | MEDLINE | ID: mdl-28623115

ABSTRACT

Cerebral venous thrombosis is a rare complication of intracranial hypotension. We describe 3 cases in which this phenomenon occurred, as a result of a lumbar puncture or due to a spontaneous cerebrospinal fluid leak. We emphasize the importance of early detection of the intracranial hypotension syndrome, the most common clinical manifestation being orthostatic headache. It is not an innocent condition as it is associated with other potential complications such as subdural hygroma/hematoma, cranial nerve palsies, cerebellar tonsillar descent, and even brainstem manifestations. Any change in the typical features of the syndrome should lead to further investigation. Repeat cerebral imaging is important in that situation, including ruling out cerebral venous thrombosis.


Subject(s)
Head Injuries, Closed/etiology , Iatrogenic Disease , Intracranial Hypotension/etiology , Intracranial Pressure , Intracranial Thrombosis/etiology , Venous Thrombosis/etiology , Adult , Anticoagulants/therapeutic use , Blood Patch, Epidural , Female , Head Injuries, Closed/diagnostic imaging , Head Injuries, Closed/physiopathology , Head Injuries, Closed/therapy , Headache/etiology , Humans , Intracranial Hypotension/diagnosis , Intracranial Hypotension/physiopathology , Intracranial Hypotension/therapy , Intracranial Thrombosis/diagnostic imaging , Intracranial Thrombosis/drug therapy , Magnetic Resonance Imaging , Recurrence , Spinal Puncture/adverse effects , Tomography, X-Ray Computed , Treatment Outcome , Venous Thrombosis/diagnostic imaging , Venous Thrombosis/drug therapy , Young Adult
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