Acta Neurologica Belgica

, Volume 116, Issue 4, pp 509–512 | Cite as

Clinical characteristics of 15 cases of chronic subdural hematomas due to spontaneous intracranial hypotension with spinal cerebrospinal fluid leak

  • Yingfeng Wan
  • Jixi Xie
  • Dajiang Xie
  • Zhaoliang Xue
  • Yirong Wang
  • Shuxu YangEmail author
Original Article


The etiology of chronic subdural hematoma (CSDH) in patients is diverse. The primary objective of this article was to discuss one of the causes, spontaneous intracranial hypotension with spinal cerebrospinal fluid (CSF) leak, which is usually neglected by the neurosurgeon. All the consecutive 15 patients who underwent operation for CSDHs between June 2012 and June 2014 at Sir Run Run Shaw Hospital of Zhejiang University were included in this retrospective cohort study. The clinical and imaging data of these patients with CSDHs due to spinal CSF leak were retrospectively studied. Fifteen patients, with a mean age of 53.8 ± 8.3 years, underwent operations for CSDH. Hematomas were unilateral in 4 patients and bilateral in 11 patients. Among these patients, eight patients had recurrence of hematomas after operation due to neglect of spinal CSF leak. All patients had fully recovery. Spinal CSF leak is a cause of cSDH, which is overlooked by the doctor.


Chronic subdural hematomsa Spontaneous intracranial hypotension Spinal cerebral fluid leak 


Compliance with ethical standards

Conflict of interest

There is no conflict of interest.

Ethical approval

This article was approved by Medical Ethics Committee of Sir Run Run Shaw Hospital.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Belgian Neurological Society 2016

Authors and Affiliations

  • Yingfeng Wan
    • 1
  • Jixi Xie
    • 1
  • Dajiang Xie
    • 1
  • Zhaoliang Xue
    • 1
  • Yirong Wang
    • 1
  • Shuxu Yang
    • 1
    Email author
  1. 1.Department of Neurosurgery, Sir Run Run Shaw Hospital, The Affiliated Hospital of Medical CollegeZhejiang UniversityHangzhouChina

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