[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-411251-105":59,"doc-detail-411251-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","intracranial-hypotension-headache-complicated-by-retroclival-subdural-hematoma-clinical-insights-and-literature-review","Intracranial hypotension headache complicated by retroclival subdural hematoma: clinical insights and literature review","","Retroclival subdural hematoma (rcSDH) arising from spontaneous intracranial hypotension (SIH) is an extremely rare disorder with incompletely understood mechanisms. A 24-year-old woman developed acute, persistent orthostatic headache without trauma or anticoagulant exposure. Imaging demonstrated rcSDH located in the retroclival, infratentorial, and right frontal regions. Venous rupture due to venous traction from reduced cerebrospinal fluid pressure was hypothesized. After epidural blood patch therapy, symptoms improved markedly and follow-up imaging showed radiological resolution of the hematomas. SIH should be considered when rcSDH is identified, with early diagnosis and timely intervention essential; severe brainstem compression warrants hematoma evacuation alongside epidural blood patch.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/intracranial-hypotension-headache-complicated-by-retroclival-subdural-hematoma-clinical-insights-and-literature-review/411251/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/intracranial-hypotension-headache-complicated-by-retroclival-subdural-hematoma-clinical-insights-and-literature-review/411251.png","ImageObject",300,407,{"name":92,"@type":93},"Cipher","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-06","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",14,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What clinical features suggested spontaneous intracranial hypotension in this case?","Question",{"text":113,"@type":114},"The patient had acute, persistent orthostatic headache that worsened on sitting or standing and resolved immediately when lying flat, without trauma or anticoagulant therapy.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What did neuroimaging show?",{"text":118,"@type":114},"Subdural hematomas were located in the retroclival, infratentorial, and right frontal regions.",{"name":120,"@type":111,"acceptedAnswer":121},"How was the patient treated and what was the outcome?",{"text":122,"@type":114},"Epidural blood patch therapy was administered, leading to marked symptomatic improvement and radiological resolution of the hematomas on follow-up imaging.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},411251,1790809759,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},687208528416,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","TYPE Original Research PUBLISHED 18 December 2025 DOI 10.3389/fnins.2025.1754178  \nOPEN ACCESS  \nEDITED BY  \nWei Shan,  \nCapital Medical University, China  \nREVIEWED BY  \nShiwen Weng,  \nCapital Medical University, China Wenjie Li,  \nPeking University Third Hospital, China  \n*CORRESPONDENCE  \nJin Wang  \n [wangjinjoy@zju.edu.cn](wangjinjoy@zju.edu.cn)  \nRECEIVED 25 November 2025  \nREVISED 02 December 2025  \nACCEPTED 03 December 2025  \nPUBLISHED 18 December 2025  \nCITATION  \nYang Y, Zhang D, Zhang Q, Hu X, Wang W and Wang J (2025) Intracranial hypotension headache complicated by retroclival subdural hematoma: clinical insights and literature review.  \nFront. Neurosci. 19:1754178 .  \ndoi: 10.3389/fnins.2025.1754178  \nCOPYRIGHT  \n© 2025 Yang, Zhang, Zhang, Hu, Wang and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.  \nIntracranial hypotension headache complicated by retroclival subdural hematoma:  \nclinical insights and literature review  \nYi Yang 1, Dan Zhang 1, Qiaowei Zhang 2, Xingyue Hu 1, Wei Wang 1 and Jin Wang 1*  \n1Department of Neurology, Headache Center, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China, 2Department of Radiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China  \nBackground: Retroclival subdural hematoma (rcSDH) secondary to spontaneous intracranial hypotension (SIH) is an exceedingly rare clinical entity, characterized by complex and incompletely understood pathophysiological mechanisms. Case: A 24-year-old female presented with acute and persistent orthostatic headache, with no history of trauma or anticoagulant therapy. Neuroimaging revealed subdural hematomas (SDH) located in the retroclival, infratentorial, and right frontal regions. It was hypothesized that veinous rupture, resulting from venous traction due to decreased cerebrospinal fluid (CSF) pressure, was the underlying mechanism. Following epidural blood patch (EBP) therapy, the patient exhibited marked symptomatic improvement and radiological resolution of hematomas on follow-up imaging.  \nConclusion: RcSDH is considered an uncommon complication ofSIH, potentially resulting from venous rupture in the retroclival subdural space due to reduced CSF pressure. SIH should be considered in cases of rcSDH. The treatment is typically focused on addressing the underlying etiology, with early diagnosis and timely intervention being essential for achieving favorable outcomes. In cases of severe brainstem compression, hematoma evacuation should be performed in conjunction with EBP.  \nKEYWORDS  \nepidural blood patch (EBP), orthostatic headache, retroclival subdural hematoma (rcSDH), spontaneous intracranial hypotension (SIH), venous rupture  \n1 Introduction  \nSpontaneous intracranial hypotension (SIH) is a disabling disorder characterized by orthostatic headache secondary to spontaneous spinal cerebrospinal fluid (CSF) leaks and/or CSF hypotension (D'Antona et al., 2021; Dobrocky et al., 2022) . In SIH, subdural fluid collections occur in approximately 50% of cases, with 60% presenting as hygromas and 40% as subacute to chronic hematomas (Schievink et al., 2005) . The mechanism underlying subdural hematoma (SDH) primarily involves the expansion of the potential subduralsubarachnoid space, which facilitates the accumulation of blood or protein-rich fluid within this space. Furthermore, the phenomenon of brain sagging exerts downward traction on the  \nFrontiers in Neuroscience 01 [frontiersin.org](frontiersin.org)  \nbridging veins which connect the cortical veins to the dural sinu","cbCaiuroOEjLBSqi","https://ap.wps.com/l/cbCaiuroOEjLBSqi","pdf",1525788,"English","# Background\n## Case\n## Conclusion\n# 1 Introduction\n# 2 Case report","[{\"question\":\"What clinical features suggested spontaneous intracranial hypotension in this case?\",\"answer\":\"The patient had acute, persistent orthostatic headache that worsened on sitting or standing and resolved immediately when lying flat, without trauma or anticoagulant therapy.\"},{\"question\":\"What did neuroimaging show?\",\"answer\":\"Subdural hematomas were located in the retroclival, infratentorial, and right frontal regions.\"},{\"question\":\"How was the patient treated and what was the outcome?\",\"answer\":\"Epidural blood patch therapy was administered, leading to marked symptomatic improvement and radiological resolution of the hematomas on follow-up imaging.\"}]","Intracranial hypotension headache complicated by retroclival subdural hematoma: clinical insights and literature review | PDF",1790587937,18]