Diagnostic Criteria for Spontaneous Spinal CSF Leaks and Intracranial Hypotension

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Diagnostic criteria for spontaneous spinal CSF leaks and intracranial hypotension.

BACKGROUND AND PURPOSE Comprehensive diagnostic criteria encompassing the varied clinical and radiographic manifestations of spontaneous intracranial hypotension are not available. Therefore, we propose a new set of diagnostic criteria. MATERIALS AND METHODS The diagnostic criteria are based on results of brain and spine imaging, clinical manifestations, results of lumbar puncture, and respon...

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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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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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The role of MR myelography with intrathecal gadolinium in localization of spinal CSF leaks in patients with spontaneous intracranial hypotension.

BACKGROUND AND PURPOSE Localization of spinal CSF leaks in CSF hypovolemia is critical in directing focal therapy. In this retrospective review, our aim was to determine whether GdM was helpful in confirming and localizing spinal CSF leaks in patients in whom no leak was identified on a prior CTM. MATERIALS AND METHODS Forty-one symptomatic patients with clinical suspicion of SIH were referre...

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When should I do dynamic CT myelography? Predicting fast spinal CSF leaks in patients with spontaneous intracranial hypotension.

BACKGROUND AND PURPOSE Some patients with SIH have fast CSF leaks requiring dynamic CTM for localization; however, patients generally undergo conventional CTM before a dynamic study. Our aim was to determine whether findings on head MR imaging, spine MR imaging, or opening pressure measurements can predict fast spinal CSF leaks. MATERIALS AND METHODS A retrospective review was performed on 15...

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ژورنال

عنوان ژورنال: American Journal of Neuroradiology

سال: 2008

ISSN: 0195-6108,1936-959X

DOI: 10.3174/ajnr.a1156