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We describe our management of complex spontaneous intracranial hypotension associated with bilateral subdural hygromata. The accompanying images illustrate evolutionary changes over a 6-month period, including late subdural haemorrhage into resolving hygromata. This case demonstrates that conservative management has a place in the management of some patients.
A 65-year-old man presented to us with a severe fronto-occipital throbbing headache. A few days earlier he had noticed a “twinge” in the back of his neck and saw a chiropractor. His headaches were postural, relieved by lying flat and …