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Spontaneous Intracranial Hypotension with Bilateral Subdural Haematomas and Posterior Cerebral Artery Infarcts with Delayed Epidural Blood Patch Response: A Case Report

Year: 2026

Type: article

Abstract: Spontaneous Intracranial Hypotension (SIH) is a rare but treatable cause of orthostatic headache due to spontaneous leakage of Cerebrospinal Fluid (CSF). A 48-year-old male presented with orthostatic headache with bilateral subdural haematomas. The patient was found to have bilateral subdural haematomas with mass effect on Brain Magnetic Resonance Imaging (MRI), and a cervical dural tear with active CSF leakage on contrast-enhanced MR myelography, suggestive of SIH. The late diagnosis was complicated by progressive mass effect and infarcts involving the bilateral posterior cerebral arteries. A delayed Epidural Blood Patch (EBP) had favourable clinical and radiological outcomes. Early diagnosis and prompt EBP were needed to avoid neurological sequelae.

Source: JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

DOI: 10.7860/jcdr/2026/88075.24686

Authors: Virendra Kumar Meena, Sakshi Singhal, Renu Khamesra, Ravinder Kumar Kundu

Language: English

Topic: Neurosurgical Procedures and Complications

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $275

OpenAlex ID: W7223455260

FWCI:

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