Cerebrospinal fluid leak causing spontaneous intracranial hypotension

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چکیده

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Intracranial hypotension secondary to spontaneous spinal cerebrospinal fluid leaks.

A 37-year-old woman presented with acute orthostatic hypotension and diffuse headache. Brain magnetic resonance imaging (MRI) revealed T2 hyperintense bilateral subdural effusions, diffuse pachymeningeal enhancement, slit ventricles and venous engorgement compatible with spontaneous intracranial hypotension. Single photon emission computed tomography with computed tomography (CT) and CT-cistern...

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Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension.

CONTEXT Spontaneous intracranial hypotension is caused by spontaneous spinal cerebrospinal fluid (CSF) leaks and is known for causing orthostatic headaches. It is an important cause of new headaches in young and middle-aged individuals, but initial misdiagnosis is common. OBJECTIVE To summarize existing evidence regarding the epidemiology, pathophysiology, diagnosis, and management of spontan...

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Spontaneous cerebrospinal fluid leak at the clivus

We present a case report of a 60-year-old woman with a spontaneous cerebrospinal fluid leak at the clivus, obesity and no history of trauma. Follow-up imaging scans confirmed enlargement of the defect within the posterior clival framework to the size of 16 × 9 × 4 mm with a suspected meningocerebral hernia. The surgeons used the "two nostrils - four hands" endoscopic operating technique. The pa...

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Localization of cerebrospinal fluid leak in a case of spontaneous intracranial hypotension using dynamic computed tomography myelography.

388 August 2014 E blood patch is the mainstay of treatment for persistent symptoms secondary to spontaneous intracranial hypotension.1 Determining the level of cerebrospinal fluid leak is thought to be an important consideration for optimal siting of the epidural blood patch injection.2 However, it is often difficult to determine the level of cerebrospinal fluid leak in spontaneous intracranial...

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Iatrogenic Development of Cerebrospinal Fluid Leakage in Diagnosing Spontaneous Intracranial Hypotension

A 34-year-old woman came to the emergency room complaining of a severe orthostatic headache. Results of a cerebrospinal fluid tap and brain computed tomography were normal. Based on her history and symptoms, she was found to have spontaneous intracranial hypotension. She was hospitalized and her symptoms improved with conservative treatment. On the next day, her headache suddenly worsened. Cist...

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ژورنال

عنوان ژورنال: Journal of Marine Medical Society

سال: 2019

ISSN: 0975-3605

DOI: 10.4103/jmms.jmms_46_18