Management of spontaneous intracranial hypotension – Transorbital ultrasound as discriminator

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Management of spontaneous intracranial hypotension – Transorbital ultrasound as discriminator

OBJECTIVE Spontaneous intracranial hypotension (SIH) is most commonly caused by cerebrospinal fluid (CSF) leakage. Therefore, we hypothesised that patients with orthostatic headache (OH) would show decreased optic nerve sheath diameter (ONSD) during changes from supine to upright position. METHODS Transorbital B-mode ultrasound was performed employing a high-frequency transducer for ONSD meas...

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Spontaneous Intracranial Hypotension : Recommendations for Management

Spontaneous intracranial hypotension (SIH) is a syndrome in which a cerebrospinal fluid leak occurs within the spinal axis, and may lead to a constellation of neurological symptoms. A postural or orthostatic headache is the most common of these symptoms1. Spontaneous intracranial hypotension was first recognized by Georg Schaltenbrand in the 1930s. Many terms have been used to describe the cond...

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Spontaneous intracranial hypotension: recommendations for management.

A literature search found no clinical trials or guidelines addressing the management of spontaneous intracranial hypotension (SIH). Based on the available literature and expert opinion, we have developed recommendations for the diagnosis and management of SIH. For typical cases, we recommend brain magnetic resonance (MR) imaging with gadolinium to confirm the diagnosis, and conservative measure...

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Spontaneous intracranial hypotension.

From the Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan; Department of Anatomy and Cell Biology, National Taiwan University College of Medicine, Taipei, Taiwan. Received January 10, 2005. Revised and Accepted January 21, 2005. Reprint requests and correspondence to: Sung-Tsang Hsieh. MD. Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan. ...

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Spontaneous intracranial hypotension.

Spontaneous intracranial hypotension (SIH) is an increasingly recognised syndrome. Postural headache with typical findings on magnetic resonance imaging (MRI) are the key to diagnosis. Orthostatic headache, low cerebrospinal fluid opening pressure, and diffuse meningeal enhancement on post-contrast T1-weighted MRI brain studies are the major features of this increasingly recognised syndrome. He...

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ژورنال

عنوان ژورنال: Journal of Neurology, Neurosurgery & Psychiatry

سال: 2015

ISSN: 0022-3050,1468-330X

DOI: 10.1136/jnnp-2015-310853