Cerebral Infarction and Remote Cerebellar Hemorrhage in Patients with Intracranial Hypotension

Abstract

Cerebrospinal fluid leakage is largely associated with spontaneous intracranial hypotension and iatrogenic events, such as complications associated with spinal tapping or durotomy. Intracranial hypotension causes a positional headache, neck stiffness, nausea, dizziness, or tinnitus. Although rare, intracranial hypotension can lead to serious complications, including subdural hematomas and cerebral infarction. Given its rarity, there is no consensus protocol for treating cerebrovascular complications after intracranial hypotension. We report two cases of intracranial hypotension with cerebrovascular complications, including acute cerebral infarction and cerebellar hemorrhage.