Japanese Journal of Neurosurgery
Online ISSN : 2187-3100
Print ISSN : 0917-950X
ISSN-L : 0917-950X
Spontaneous Intracranial Hypotension with Optic Disc Edema and Diplopia : A Case Report
Masaru OhtaIwao TakeshitaKenichi Matsumoto
Author information
JOURNAL FREE ACCESS

2001 Volume 10 Issue 5 Pages 353-357

Details
Abstract

We present a 58-year-old woman with left optic disc edema and diplopia caused by spontaneous intracranial hypotension (SIH) accompanied by bilateral chronic subdural hematoma (CSH). She had an operation for the CSH because of increasing size of the hematoma. Brain magnetic resonance (MR) imaging showed no characteristic abnormalities of SIH 1 week after onset but MR imaging 1 month after onset showed a pachymeningeal enhancement and downward brain displacement. We considered hypothesis of the occurrence of the optic disc edema and diplopia. We believe that the CSH continued to add more etiologic factors such as the failure of the axonal flow to the injured optic and abducent nerves in the state of SIH. We should be born in mind that SIH may manifest with unpredictable symptoms such as suddenly suffered severe headaches, convulsions, consciousness disturbances, or cranial nerve impairments.

Content from these authors
© 2001 The Japanese Congress of Neurological Surgeons
Previous article Next article
feedback
Top