A Case of Cerebrospinal Fluid Hypovolemic Syndrome with Impairment of the Level of Consciousness

J Korean Neurol Assoc > Volume 24(4); 2006 > Article

Journal of the Korean Neurological Association 2006;24(4): 378-380.

의식 장애를 동반한 뇌척수액 저용적 증후군 1예

최수영, 김대현 김예성 김재문

충남대학교 의과대학 신경과학교실

A Case of Cerebrospinal Fluid Hypovolemic Syndrome with Impairment of the Level of Consciousness

Soo-Young Choi

Department of Neurology, Chungnam National University College of Medicine, Daejeon, Korea

Abstract

We report a 39-year-old man who had newly developed a postural headache followed by a progressive decline in his level of consciousness with behavioral changes. Magnetic resonance imaging of the brain and radioisotope cisternography revealed typical findings of cerebrospinal fluid (CSF) hypovolemic syndrome combined with bilateral subdural hematoma and diencephalic compression. His headache and mental status improved after repeated epidural blood patches. Early detection of this rare complication and rapid treatment such as blood patches are very important in the treatment of these patients. KeyWords:Spontaneous cerebrospinal fluid hypovolemic syndrome, Mental change, Subdural hematoma