Chronic subdural haematoma associated with nontraumatic CSF rhinorrhea: A management challenge

Poonnoose, Santosh; Manjooran, Raju P.; Mathew, John; Ramachandran, Pranatartiharan

doi:10.1016/j.jocn.2005.11.015

Cited by 4 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Management of only CSDH without repair of CSF leak could result in recurrence. [18] Embolization of the middle meningeal artery is considered to be useful to eliminate the blood supply to hematoma capsule and prevent recurrence in intractable recurrent cases. [150,151] The angiotensin converting enzyme (ACE) inhibitor treatment lowers the risk of recurrence in CSDH.…”

Section: Methods To Reduce Recurrencementioning

confidence: 99%

See 1 more Smart Citation

Chronic subdural hematoma

et al. 2016

View full text Add to dashboard Cite

Chronic subdural hematoma (CSDH) is one of the most common neurosurgical conditions. There is lack of uniformity in the treatment of CSDH amongst surgeons in terms of various treatment strategies. Clinical presentation may vary from no symptoms to unconsciousness. CSDH is usually diagnosed by contrast-enhanced computed tomography scan. Magnetic resonance imaging (MRI) scan is more sensitive in the diagnosis of bilateral isodense CSDH, multiple loculations, intrahematoma membranes, fresh bleeding, hemolysis, and the size of capsule. Contrast-enhanced CT or MRI could detect associated primary or metastatic dural diseases. Although definite history of trauma could be obtained in a majority of cases, some cases may be secondary to coagulation defect, intracranial hypotension, use of anticoagulants and antiplatelet drugs, etc., Recurrent bleeding, increased exudates from outer membrane, and cerebrospinal fluid entrapment have been implicated in the enlargement of CSDH. Burr-hole evacuation is the treatment of choice for an uncomplicated CSDH. Most of the recent trials favor the use of drain to reduce recurrence rate. Craniotomy and twist drill craniostomy also play a role in the management. Dural biopsy should be taken, especially in recurrence and thick outer membrane. Nonsurgical management is reserved for asymptomatic or high operative risk patients. The steroids and angiotensin converting enzyme inhibitors may also play a role in the management. Single management strategy is not appropriate for all the cases of CSDH. Better understanding of the nature of the pathology, rational selection of an ideal treatment strategy for an individual patient, and identification of the merits and limitations of different surgical techniques could help in improving the prognosis.

show abstract

Section: Methods To Reduce Recurrencementioning

confidence: 99%

“…CSF rhinorrhea could be the cause of the intracranial hypotension leading to CSDH. [18] Intracranial hypotension following lumbar puncture, spinal anesthesia, and spine surgery…”

Section: Csf Rhinorrheamentioning

confidence: 99%

Chronic subdural hematoma

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Furthermore, it is well known that any CSF drainage procedure can result in SDH [7,8]. In such conditions it is the negative pressure caused by a CSF leak that results in subdural collection [9].…”

Section: Discussionmentioning

confidence: 99%

Subdural haematoma after endoscopic skull base surgery: Case report and lesson learned

Dallan

Lenzi

Muscatello

et al. 2011

Clinical Neurology and Neurosurgery

View full text Add to dashboard Cite

“…In cases of IH, occult spontaneous CSF leak could induce SDH similar to the effect of an overdraining CSF shunt, and produce the symptoms of orthostatic headache. 2 The origin of spontaneous CSF leak could be cranial or spinal, 3,4 and the exact mechanism remains obscure. Patients with connective tissue disorders (e.g., Marfan syndrome) have an increased risk of CSF leak.…”

Section: Discussionmentioning

confidence: 99%

Recurrent chronic subdural hemorrhage due to cervical spinal CSF leak in a young adult: Report of a case

Chen

Kuo

et al. 2011

Formosan Journal of Surgery

View full text Add to dashboard Cite

KEYWORDS chiropractic; intracranial hypotension; spinal cerebrospinal fluid leak; subdural hemorrhage Summary Nontraumatic intracranial subdural hemorrhage may result from disorders at remote anatomic sites. Here, we report a young adult who suffered from bilateral subdural hematoma without antecedent head injury. The subdural hematoma did not resolve after surgical drainage. The symptom of postural headache prompted a contrast-enhanced magnetic resonance imaging (MRI) examination of the brain, which revealed signs indicative of intracranial hypotension. Subsequently, MRI of the spine demonstrated leakage of cerebrospinal fluid (CSF) in the upper cervical spine region. The patient recovered after conservative treatment. A review of the patient's medical history revealed that the patient had chiropractic therapy on his neck 2 months prior to admission. Intracranial hypotension due to spinal CSF leak is a rare cause of subdural hemorrhage, yet it should be considered in the absence of head trauma.

show abstract

Chronic subdural haematoma associated with nontraumatic CSF rhinorrhea: A management challenge

Cited by 4 publications

References 13 publications

Chronic subdural hematoma

Chronic subdural hematoma

Subdural haematoma after endoscopic skull base surgery: Case report and lesson learned

Recurrent chronic subdural hemorrhage due to cervical spinal CSF leak in a young adult: Report of a case

Contact Info

Product

Resources

About