Skip to content
DraconiticResearch
Search Sources API
197,768 studies31 sourcesUpdated 1 h ago
Peer-reviewedCC BY-NC-NDJournal of Clinical and Diagnostic Research

Spontaneous Intracranial Hypotension with Bilateral Subdural Haematomas and Posterior Cerebral Artery Infarcts with Delayed Epidural Blood Patch Response: A Case Report

  • Virendra Kumar Meena1
  • Sakshi Singhal2
  • Renu Khamesra3
  • Ravinder Kumar Kundu4
4 affiliations
  1. 1Associate Professor, Department of Radiodiagnosis, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.
  2. 2First Year Resident, Department of Radiodiagnosis, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.
  3. 3Professor and Head, Department of Neurology, American International Institute of Medical Sciences (AIIMS Udr), Udaipur, Rajasthan, India.
  4. 4Professor and Head, Department of Radiodiagnosis, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.
Read full textDOICite

Abstract

Spontaneous Intracranial Hypotension (SIH) is a rare but treatable cause of orthostatic headache due to spontaneous leakage of Cerebrospinal Fluid (CSF). A 48-year-old male presented with orthostatic headache with bilateral subdural haematomas. The patient was found to have bilateral subdural haematomas with mass effect on Brain Magnetic Resonance Imaging (MRI), and a cervical dural tear with active CSF leakage on contrast-enhanced MR myelography, suggestive of SIH. The late diagnosis was complicated by progressive mass effect and infarcts involving the bilateral posterior cerebral arteries. A delayed Epidural Blood Patch (EBP) had favourable clinical and radiological outcomes. Early diagnosis and prompt EBP were needed to avoid neurological sequelae.

Related

  1. Spontaneous Intracranial Hypotension Presenting With Acute Orthostatic Headache: A Case Report
    Ali Ben Arose, Geetanjali Gupta, Fatima Saeed
    CureusPeer-reviewedCC BYFull textNeurologyEurope PMCPMC
  2. Age-related differences in clinical manifestations, neuroimaging features, and treatment of spontaneous intracranial hypotension: a retrospective cohort study.
    Xiaohang Dong, Qirui Liu, Sichen He +7
    BMC neurologyPeer-reviewedCC BY-NC-NDFull textNeurologyEurope PMCDOAJ
  3. Recommendations for the Management of Spontaneous Intracranial Hypotension With Spinal Longitudinal Epidural CSF Collection
    Soyoun Choi, Ian Carroll, Deborah I. Friedman +9
    NeurologyPeer-reviewedCC BY-NC-ND 4.0Full textNeurologyPMC
  4. Temporal overlap of intraoperative hypotension and hypocapnia and postoperative outcomes after major open intracranial surgery: a time-weighted dual-hit cohort study
    Xing Yan, Xuemin Zou, Ruowen Yang +2
    Frontiers in medicinePeer-reviewedCC BYFull textGeneral medicineEurope PMC
  5. Hemodynamic Induction of Intracranial Aneurysms via Bilateral Common Carotid Artery Ligation in Rabbits: A Systematic Review and Meta-Analysis
    Laurentiu Andrei Blaj, Victor Ianole, Andrei Ionut Cucu +3
    Medical sciences (Basel, Switzerland)Peer-reviewedCC BYFull textGeneral medicineEurope PMC

Cite

BibTeXRIS
BibTeX
@article{meena2026spontaneous,
  title = {{Spontaneous Intracranial Hypotension with Bilateral Subdural Haematomas and Posterior Cerebral Artery Infarcts with Delayed Epidural Blood Patch Response: A Case Report}},
  author = {Virendra Kumar Meena and Sakshi Singhal and Renu Khamesra and Ravinder Kumar Kundu},
  journal = {Journal of Clinical and Diagnostic Research},
  year = {2026},
  month = oct,
  doi = {10.7860/jcdr/2026/88075.24686},
  url = {https://doi.org/10.7860/jcdr/2026/88075.24686},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Spontaneous Intracranial Hypotension with Bilateral Subdural Haematomas and Posterior Cerebral Artery Infarcts with Delayed Epidural Blood Patch Response: A Case Report
AU  - Virendra Kumar Meena
AU  - Sakshi Singhal
AU  - Renu Khamesra
AU  - Ravinder Kumar Kundu
PY  - 2026
DA  - 2026/10/30
JO  - Journal of Clinical and Diagnostic Research
DO  - 10.7860/jcdr/2026/88075.24686
UR  - https://doi.org/10.7860/jcdr/2026/88075.24686
AB  - Spontaneous Intracranial Hypotension (SIH) is a rare but treatable cause of orthostatic headache due to spontaneous leakage of Cerebrospinal Fluid (CSF). A 48-year-old male presented with orthostatic headache with bilateral subdural haematomas. The patient was found to have bilateral subdural haematomas with mass effect on Brain Magnetic Resonance Imaging (MRI), and a cervical dural tear with active CSF leakage on contrast-enhanced MR myelography, suggestive of SIH. The late diagnosis was complicated by progressive mass effect and infarcts involving the bilateral posterior cerebral arteries. A delayed Epidural Blood Patch (EBP) had favourable clinical and radiological outcomes. Early diagnosis and prompt EBP were needed to avoid neurological sequelae.
SN  - 2249-782X
SN  - 0973-709X
ER  -