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 Volume 67, Number 6, September 26, 2006
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NEUROLOGY 2006;67:1088-1089
© 2006 American Academy of Neurology
Brief Communications

Subdural hematoma in spontaneous CSF hypovolemia

S. J. Chung, MD, J. H. Lee, MD, S. J. Kim, MD, B. D. Kwun, MD and M. C. Lee, MD

From the Departments of Neurology (S.J.C., J.-H.L., M.C.L.), Radiology (S.J.K.), and Neurosurgery (B.D.K.), University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.

Address correspondence and reprint requests to Dr. Sun Ju Chung, Department of Neurology, Asan Medical Center, 388-1, Pungnap-dong, Songpa-gu, Seoul, 138-736, South Korea; e-mail: sjchung{at}amc.seoul.kr

Of 67 consecutive patients with spontaneous CSF hypovolemia (SCH), 11 (16.4%) had subdural hematoma (SDH). Patients with SDH were older (p = 0.005), more likely to be male (p = 0.035), and displayed longer time to diagnosis of SCH (p = 0.019) than those without SDH. All patients with SDH showed the findings of pseudo–subarachnoid hemorrhage on CT and responded favorably to epidural blood patches and neurosurgical drainage.

Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the September 26 issue to find the title link for this article.

Disclosure: The authors report no conflicts of interest.

Received December 13, 2005. Accepted in final form May 30, 2006.






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