Spontaneous Intracranial Hypotension with a Reversible Splenial Lesion after Swimming

Hirokazu Uchigami; Tomonari Seki; Takuto Hideyama; Junko Katsumata; Risa Maekawa; Yasushi Shiio

doi:10.2169/internalmedicine.4971-20

CASE REPORTS

Spontaneous Intracranial Hypotension with a Reversible Splenial Lesion after Swimming

Hirokazu Uchigami, Tomonari Seki, Takuto Hideyama, Junko Katsumata, Risa Maekawa, Yasushi Shiio

著者情報

キーワード: subdural hematoma, pseudo-subarachnoid hemorrhage, swimming, transient high-intensity lesion in the splenium of the corpus callosum, intracranial hypotension

ジャーナルオープンアクセス

2020 年 59 巻 20 号 p. 2593-2596

DOI https://doi.org/10.2169/internalmedicine.4971-20

Browse “Advance online publication” version

詳細

抄録

Spontaneous intracranial hypotension (SIH) is an important cause of headache mainly associated with spinal cerebrospinal fluid leakage. We herein report the case of a 51-year-old man who developed SIH after swimming. Brain magnetic resonance imaging (MRI) showed a transient high-intensity lesion in the splenium of the corpus callosum (SCC), in addition to bilateral subdural hematomas (SDH) and pseudo-subarachnoid hemorrhage on brain computed tomography. The splenial lesion disappeared and SDH improved after an epidural blood patch. This case emphasizes that transient SCC lesions could coexist with SIH and that SIH should be considered in the differential diagnosis of SCC lesions.

責任著者(Corresponding author)

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