第4巻 2008年2月　第1号

■症例から学ぶ

両側慢性硬膜下血腫を伴った特発性低髄液圧症候群（脳脊髄液減少症）
戸田　茂樹^1,2, 喜多村　孝幸^1,2, 寺本　明^1,2
1日本医科大学大学院医学研究科神経病態解析学
²日本医科大学付属病院脳神経外科

A Case of Bilateral Chronic Subdural Hematomas Due to Spontaneous Intracranial Hypotension
Shigeki Toda^1,2, Takayuki Kitamura^1,2 and Akira Teramoto^1,2
1Department of Clinical Neurosciece, Graduate School of Medicine, Nippon Medical School
²Department of Neurosurgery, Nippon Medical School

We present a case of bilateral chronic subdural hematoma due to spontaneous intracranial hypotension. This patient complained of postural headache. Computed tomography of the brain showed bilateral chronic subdural hematomas, and radioisotope cisternography showed leakage of cerebrospinal fluid at the lumbar level. We placed an epidural blood patch at the lumbar level and a few days later performed irrigation of the bilateral hematomas. The patient recovered completely and was discharged.

日医大医会誌 2008; 4(1), 36-40

Key words
spontaneous intracranial hypotension, chronic subdural hematoma, epidural blood patch

Correspondence to
Shigeki Toda, Department of Neurosurgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8602, Japan
E-mail：s-toda@nms.ac.jp

受付：2007年7月27日　受理：2007年9月18日