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題名 | Intracranial Hypotension Concurrent Presented with Pseudo-Subarachnoid Hemorrhage and Transverse Sinus Thrombosis: A Case Report=以偽蜘蛛網膜下腔出血及橫竇栓塞表現的顱內低壓:一個病例報告 |
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作者 | 鄭傑陽; 王哲川; 陳泰源; 郭進榮; | 書刊名 | 臺灣急診醫學會醫誌 |
卷期 | 12:4 2010.12[民99.12] |
頁次 | 頁114-118 |
分類號 | 416.291 |
關鍵詞 | 顱內低壓; 偽蜘蛛網膜下腔出血; 橫竇栓塞; 廣泛性異常腦膜顯影; 雙側硬腦膜下積液; Headache; Intracranial hypotension; Sinus thrombosis; Subarachnoid hemorrhage; Subdural effusion; |
語文 | 英文(English) |
英文摘要 | A 35-year-old male who presented acute on chronic onset of headache followed by vomiting and neck pain came to our emergency department in the mid-night. Initial brain CT revealed pseudo-subarachnoid hemorrhage (SAH). Misdiagnosis of cerebral aneurysm rupture with spontaneous SAH was diagnosed initially. On the next day, brain MRI showed right transverse sinus thrombosis, bilateral subdural effusion, diffuse pachymeningeal enhancement and C1-2 CSF leakage confirmed the diagnosis of intracranial hypotension. The headache improved after treatment of intravenous analgesia, hydration, administration of caffeine, and corticosteroid medication. We believe this is the first such case of intracranial hypotension concurrently presented with pseudo-SAH and transverse sinus thrombosis. |
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