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We report on the case of a spontaneous intracranial hypotension with subdural hygroma, as well as cerebral venous thrombosis (CVT), both known complications of intracranial hypotension. The 45-year-old patient was subsequently treated - according to current guidelines for CVT - with anticoagulation, but developed subdural haematoma (SDH), which required neurosurgical treatment. Our case highlights the complex pathophysiological sequelae of intracranial hypotension, as well as the occasionally difficult treatment decisions. Subdural hygroma probably predisposes patients to SDH during anticoagulation. Thus, the potential benefit of anticoagulation needs to be weighed against the risk of SDH on an individual basis. © Georg Thieme Verlag KG Stuttgart · New York.


J Fabricius, J M Klotz, E Hofmann, R Behr, T Neumann-Haefelin. Cerebral venous thrombosis and subdural haematoma: complications of spontaneous intracranial hypotension]. Fortschritte der Neurologie-Psychiatrie. 2012 Oct;80(10):599-601

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PMID: 23033205

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