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Intracranial hypotension after trauma

Narata, Ana-Paula
Published in SpringerPlus. 2014, vol. 3, no. 1, p. 153
Abstract Introduction Intracranial hypotension (IH) occurs typically spontaneous and is a potentially life-threatening condition characterized by symptoms varying from postural headache to coma, with classical magnetic resonance imaging (MRI) findings. Case description We report two cases of clinically relevant trauma-related IH and review of the literature. One patient with a cerebral trauma presented unilateral mydriasis and coma resolved by the Trendelenburg position (-20°) as urgency intervention. In the second patient, IH was caused by a lesion of the brachial plexus after a motor vehicle accident. Discussion and conclusion A history of mild or moderate trauma in association with prolonged postural or permanent headache may indicate IH. Posttraumatic IH is rare, nevertheless life-threatening in case of misdiagnosis. Intracranial hypotension in a trauma context is rarely described and difficult to diagnose. The change from tipical supine 30° to Trendelenburg position (0–20°) can be a life-saving manoeuver in these patients
Keywords TBIIntracranial hypotensionChronic subdural hematoma
PMID: 24790809
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Research group Groupe Schaller Karl Lothard (neurochirurgie) (851)
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SARRAFZADEH-KHORASSANI, Asita Simone et al. Intracranial hypotension after trauma. In: SpringerPlus, 2014, vol. 3, n° 1, p. 153. https://archive-ouverte.unige.ch/unige:90884

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Deposited on : 2017-01-06

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