The association of intracranial hypotension syndrome with cerebral venous thrombosis is rare. We report our experience with isolated cortical venous thrombosis, which developed after unsuccessful epidural anesthesia. Magnetic resonance imaging showed characteristic imaging findings of intracranial hypotension syndrome, such as dural thickening and brain sagging. We also detected right parietal venous hemorrhagic infarction secondary to right-sided cortical venous thrombosis. After the treatment of intracranial hypotension via epidural blood patch, heparin was used to treat cortical venous thrombosis.
Acute urinary retention associated with increased dose of atomoxetine in a child: a case report Urinary side effects of atomoxetine are extremely rare, especially in children. We report the presentation of acute urinary retention in an 8-year-old boy with attention deficit hyperactivity disorder (ADHD). To the best of our knowledge, this is the first case of a school-aged child experiencing urinary retention due to an increased dose of atomoxetine. We propose that noradrenergic systems in the urinary tract, possibly precipitated by a higher than usual initial dose of atomoxetine, may have been over-activated. Moreover, it may be suggested that urethral smooth muscles become more sensitive to alpha-adrenergic receptor stimulation before puberty.
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