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- W4300454078 abstract "OBJECTIVE AND IMPORTANCE Spontaneous intracranial hypotension is a potentially severe condition characterized by a distinct clinical picture due to low cerebrospinal fluid pressure. Although coma has been previously reported as a presentation of this condition, this is the first report where misdiagnosis of this condition and unwarranted surgery lead to coma. CLINICAL PRESENTATION A 62 year-old man presented with a history of headache and cranial MRI showed bilateral chronic subdural haematomas. Following evacuation of the haematoma, the patient's condition deteriorated into a state of profound depression of consciousness. Repeated cranial CT showed intracranial air and intracranial pressure monitoring showed negative recording. Spinal MRI demonstrated epidural CSF leaks at the middle and lower thoracic levels. INTERVENTION (OR TECHNIQUE) Epidural blood patch resulted in almost immediate improvement in the patient's condition and he was fully awake 24 hours later. CONCLUSION This case report expands the presently known clinical spectrum of this uncommon and generally benign illness." @default.
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- W4300454078 date "2006-07-01" @default.
- W4300454078 modified "2023-09-26" @default.
- W4300454078 title "SPONTANEOUS INTRACRANIAL HYPOTENSION RESULTING IN COMA" @default.
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- W4300454078 doi "https://doi.org/10.1227/01.neu.0000243279.93846.67" @default.
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