Primary hypotension and bilateral isodense subdural hematoma

Abstract

The author reports a case of confirmed primary intracranial hypotension (PIH) and non-injurious bilateral isodense subdural hematoma. The patient was 39 years old, female, and had headaches for 2 months. She had no history of trauma or medical disease. She had headaches. It initially occurred in the occipital area, worsened when standing, and decreased when lying down. Later, the headache gradually worsened. When she tried to stand, nausea, vomiting, dizziness, and blurred vision occurred. The patient was weak and pale, and her head was raised more than 15°. There are severe headaches, nausea and dizziness. Organic mental symptoms such as decreased concentration, mild disorientation, recent memory impairment, and low awareness. There are no fixed sided nervous system signs or optic disc edema, and there is no cervical stiffness or infection