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Neurological picture
Spontaneous intracranial hypotension, hygromata and haematomata
  1. D G Healy,
  2. P J Goadsby,
  3. N D Kitchen,
  4. T Yousry,
  5. M G Hanna
  1. The National Hospital for Neurology and Neurosurgery, London, UK
  1. D G Healy, The National Hospital for Neurology and Neurosurgery, Queen Square, London, UK; danhealy{at}doctors.org.uk

https://doi.org/10.1136/jnnp.2007.132019

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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.

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    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 …

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    Footnotes

    • Competing interests: One of the co-authors (MGH) is deputy editor of J Neurol Neurosurg Psychiatry.

    • Patient consent: Informed consent was obtained for publication of the case details in this report.