INTRACRANIAL HYPOTENSION MIMICKING CEREBRAL VENOUS INFARCTION
Description
Postpartum seizures can be attributed to various etiological factors. The most common conditions that come to mind include eclampsia, cerebral venous thrombosis, reversible vasoconstriction syndrome, and posterior reversible encephalopathy syndrome (PRES). Especially when neurological defects like motor deficits accompany an epileptic seizure, cerebrovascular diseases, particularly cerebral venous thrombosis, become more prominent. In postpartum patients with a history of spinal anesthesia, intracranial hypotension (ICH) should also be considered in the etiology (1). Intracranial hypotension (ICH) is a condition that can be confused with many types of headaches and is associated with various complications such as subdural effusion (SDE), subarachnoid hemorrhage (SAH), cranial neuropathy, and epileptic seizures (2,3). Postural headache is particularly significant for diagnosis (3). In our case, due to the postictal confusion following the epileptic seizure, the anamnesis of the postural headache was taken later. Moreover, an initial suspicion of sinus venous thrombosis (SVT) arose due to lesions observed in hospital admission diffusion-weighted magnetic resonance imaging (MRI) consistent with a cerebrovascular pathology. However, after a detailed anamnesis, an ICH diagnosis was made. During follow-up, both subdural effusion and subarachnoid hemorrhage complications were observed concurrently.
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Institutions
- Kutahya Saglik Bilimleri Universitesi Evliya Celebi Yerleske