Thunderclap headache revealing dural tears with symptomatic intracranial hypotension : Report of two cases
Copyright © 2023 Antonescu-Ghelmez, Butnariu, Antonescu, Maier, Moraru, Bucur, Anghel and Tuţă..
Cerebrospinal fluid (CSF) leakage is considered the cause of spontaneous intracranial hypotension (SIH), an important etiology for new daily persistent headaches and a potentially life-threatening condition. Minor traumatic events rarely lead to CSF leakage, contrasting with iatrogenic interventions such as a lumbar puncture or spinal surgery, which are commonly complicated by dural tears. Most meningeal lesions are found in the cervicothoracic region, followed by the thoracic region, and rarely in the lumbar region, and extremely rarely in the sacral region. We describe two patients admitted to our hospital for severe headaches aggravated in the orthostatic position, with a recent history of minor trauma and sustained physical effort, respectively. In the first case, a bone fragment pierced an incidental congenital meningocele creating a dural fistula. An extensive extradural CSF collection, spanning the cervicothoracic region (C4-T10), was described in the second case. In both patients, the clinical evolution was favorable under conservative treatment.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:14 |
|---|---|
| Enthalten in: |
Frontiers in neurology - 14(2023) vom: 01., Seite 1132793 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Antonescu-Ghelmez, Dana [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
CSF leakage |
|---|
| Anmerkungen: |
Date Revised 14.03.2023 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.3389/fneur.2023.1132793 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM354142267 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM354142267 | ||
| 003 | DE-627 | ||
| 005 | 20231226061602.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.3389/fneur.2023.1132793 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1180.xml |
| 035 | |a (DE-627)NLM354142267 | ||
| 035 | |a (NLM)36908611 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Antonescu-Ghelmez, Dana |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Thunderclap headache revealing dural tears with symptomatic intracranial hypotension |b Report of two cases |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 14.03.2023 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Copyright © 2023 Antonescu-Ghelmez, Butnariu, Antonescu, Maier, Moraru, Bucur, Anghel and Tuţă. | ||
| 520 | |a Cerebrospinal fluid (CSF) leakage is considered the cause of spontaneous intracranial hypotension (SIH), an important etiology for new daily persistent headaches and a potentially life-threatening condition. Minor traumatic events rarely lead to CSF leakage, contrasting with iatrogenic interventions such as a lumbar puncture or spinal surgery, which are commonly complicated by dural tears. Most meningeal lesions are found in the cervicothoracic region, followed by the thoracic region, and rarely in the lumbar region, and extremely rarely in the sacral region. We describe two patients admitted to our hospital for severe headaches aggravated in the orthostatic position, with a recent history of minor trauma and sustained physical effort, respectively. In the first case, a bone fragment pierced an incidental congenital meningocele creating a dural fistula. An extensive extradural CSF collection, spanning the cervicothoracic region (C4-T10), was described in the second case. In both patients, the clinical evolution was favorable under conservative treatment | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a CSF leakage | |
| 650 | 4 | |a case report | |
| 650 | 4 | |a intracranial hypotension | |
| 650 | 4 | |a post-traumatic dural tear | |
| 650 | 4 | |a sacral fracture | |
| 650 | 4 | |a sacral osseous fragment | |
| 650 | 4 | |a severe headache | |
| 650 | 4 | |a thunderclap headache | |
| 700 | 1 | |a Butnariu, Ioana |e verfasserin |4 aut | |
| 700 | 1 | |a Antonescu, Florian |e verfasserin |4 aut | |
| 700 | 1 | |a Maier, Cristina |e verfasserin |4 aut | |
| 700 | 1 | |a Moraru, Adriana |e verfasserin |4 aut | |
| 700 | 1 | |a Bucur, Amanda Ioana |e verfasserin |4 aut | |
| 700 | 1 | |a Anghel, Daniela Nicoleta |e verfasserin |4 aut | |
| 700 | 1 | |a Tuţă, Sorin |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Frontiers in neurology |d 2010 |g 14(2023) vom: 01., Seite 1132793 |w (DE-627)NLM204500133 |x 1664-2295 |7 nnns |
| 773 | 1 | 8 | |g volume:14 |g year:2023 |g day:01 |g pages:1132793 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.3389/fneur.2023.1132793 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 14 |j 2023 |b 01 |h 1132793 | ||