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Thunderclap headache revealing dural tears with symptomatic intracranial hypotension: Report of two cases

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...

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Autores principales: Antonescu-Ghelmez, Dana, Butnariu, Ioana, Antonescu, Florian, Maier, Cristina, Moraru, Adriana, Bucur, Amanda Ioana, Anghel, Daniela Nicoleta, Tuţă, Sorin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9996024/
https://www.ncbi.nlm.nih.gov/pubmed/36908611
http://dx.doi.org/10.3389/fneur.2023.1132793
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author Antonescu-Ghelmez, Dana
Butnariu, Ioana
Antonescu, Florian
Maier, Cristina
Moraru, Adriana
Bucur, Amanda Ioana
Anghel, Daniela Nicoleta
Tuţă, Sorin
author_facet Antonescu-Ghelmez, Dana
Butnariu, Ioana
Antonescu, Florian
Maier, Cristina
Moraru, Adriana
Bucur, Amanda Ioana
Anghel, Daniela Nicoleta
Tuţă, Sorin
author_sort Antonescu-Ghelmez, Dana
collection PubMed
description 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.
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spelling pubmed-99960242023-03-10 Thunderclap headache revealing dural tears with symptomatic intracranial hypotension: Report of two cases Antonescu-Ghelmez, Dana Butnariu, Ioana Antonescu, Florian Maier, Cristina Moraru, Adriana Bucur, Amanda Ioana Anghel, Daniela Nicoleta Tuţă, Sorin Front Neurol Neurology 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. Frontiers Media S.A. 2023-02-23 /pmc/articles/PMC9996024/ /pubmed/36908611 http://dx.doi.org/10.3389/fneur.2023.1132793 Text en Copyright © 2023 Antonescu-Ghelmez, Butnariu, Antonescu, Maier, Moraru, Bucur, Anghel and Tuţă. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Antonescu-Ghelmez, Dana
Butnariu, Ioana
Antonescu, Florian
Maier, Cristina
Moraru, Adriana
Bucur, Amanda Ioana
Anghel, Daniela Nicoleta
Tuţă, Sorin
Thunderclap headache revealing dural tears with symptomatic intracranial hypotension: Report of two cases
title Thunderclap headache revealing dural tears with symptomatic intracranial hypotension: Report of two cases
title_full Thunderclap headache revealing dural tears with symptomatic intracranial hypotension: Report of two cases
title_fullStr Thunderclap headache revealing dural tears with symptomatic intracranial hypotension: Report of two cases
title_full_unstemmed Thunderclap headache revealing dural tears with symptomatic intracranial hypotension: Report of two cases
title_short Thunderclap headache revealing dural tears with symptomatic intracranial hypotension: Report of two cases
title_sort thunderclap headache revealing dural tears with symptomatic intracranial hypotension: report of two cases
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9996024/
https://www.ncbi.nlm.nih.gov/pubmed/36908611
http://dx.doi.org/10.3389/fneur.2023.1132793
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