Spontaneous Intracranial Hypotension with a Reversible Splenial Lesion after Swimming

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...

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Detalles Bibliográficos
Autores principales: Uchigami, Hirokazu, Seki, Tomonari, Hideyama, Takuto, Katsumata, Junko, Maekawa, Risa, Shiio, Yasushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7662063/
https://www.ncbi.nlm.nih.gov/pubmed/32581170
http://dx.doi.org/10.2169/internalmedicine.4971-20
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author Uchigami, Hirokazu
Seki, Tomonari
Hideyama, Takuto
Katsumata, Junko
Maekawa, Risa
Shiio, Yasushi
author_facet Uchigami, Hirokazu
Seki, Tomonari
Hideyama, Takuto
Katsumata, Junko
Maekawa, Risa
Shiio, Yasushi
author_sort Uchigami, Hirokazu
collection PubMed
description 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.
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spelling pubmed-76620632020-11-25 Spontaneous Intracranial Hypotension with a Reversible Splenial Lesion after Swimming Uchigami, Hirokazu Seki, Tomonari Hideyama, Takuto Katsumata, Junko Maekawa, Risa Shiio, Yasushi Intern Med Case Report 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. The Japanese Society of Internal Medicine 2020-06-23 2020-10-15 /pmc/articles/PMC7662063/ /pubmed/32581170 http://dx.doi.org/10.2169/internalmedicine.4971-20 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Uchigami, Hirokazu
Seki, Tomonari
Hideyama, Takuto
Katsumata, Junko
Maekawa, Risa
Shiio, Yasushi
Spontaneous Intracranial Hypotension with a Reversible Splenial Lesion after Swimming
title Spontaneous Intracranial Hypotension with a Reversible Splenial Lesion after Swimming
title_full Spontaneous Intracranial Hypotension with a Reversible Splenial Lesion after Swimming
title_fullStr Spontaneous Intracranial Hypotension with a Reversible Splenial Lesion after Swimming
title_full_unstemmed Spontaneous Intracranial Hypotension with a Reversible Splenial Lesion after Swimming
title_short Spontaneous Intracranial Hypotension with a Reversible Splenial Lesion after Swimming
title_sort spontaneous intracranial hypotension with a reversible splenial lesion after swimming
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7662063/
https://www.ncbi.nlm.nih.gov/pubmed/32581170
http://dx.doi.org/10.2169/internalmedicine.4971-20
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