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A Peculiar Case of Spontaneous Bilateral Subdural Haemorrhage

Case Report, Volume 10 Issue 1 – January to March 2017

Authors

Dr. Mary Anne Poovathingal, MBBS, MD, DM Trainee1
Dr. Fiju Chacko, MBBS, MD, DM, Professor1
1Department of Neurology, Jubilee Mission Medical College and Research Centre, Thrissur, Kerala, India


Abstract

Spontaneous intracranial hypotension and its complications are rarely encountered in the practice scenario. Imaging findings can mislead inexperienced eyes to misdiagnose and possibly over manage such cases. As demonstrated by this instance the patient was referred to our hospital with bilateral subdural haemorrhage for drainage. Adequate history and review of imaging allowed identification of the problem as SIH. The patient responded to epidural blood patching which was resorted to as she was not showing adequate improvement with conservative management.
Keywords: Spontaneous intracranial hypotension, Low pressure headache, Epidural blood patch


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