Spinal MRI and intracranial hypotension diagnosis

Spontaneous Intracranial Hypotension - MRI Features

Patients with intracranial hypotension may present with the classic postural headache and a broad spectrum of symptoms including nausea, vomiting, neck pain, visual and hearing disturbances, and vertigo. These various clinical presentations may lead to misdiagnosis of intracranial hypotension, thus delaying effective treatment. SIH is characterized by headache worse on standing , relieved on ly...

Spinal Manifestations of Intracranial Hypotension

Pathophysiology and diagnosis of spontaneous intracranial hypotension.

BACKGROUND Spontaneous intracranial hypotension (SIH) has become a well-recognized syndrome. However, diagnosis of SIH is still challenging. The problem with SIH is that the precise mechanism of cerebrospinal fluid (CSF) leakage remains largely unknown and there is no definite diagnostic criterion in the imaging. METHODS The clinical findings of our ten cases and 301 literature reports on SIH...

Spinal Epidural Hematoma Related to Intracranial Hypotension

A 45-year-old female patient visited the hospital complaining of severe sudden headache and posterior neck pain. The patient did not have any traumatic history or abnormal neurologic finding. The patient had sudden quadriplegia and sensory loss. Cervical spine MRI scan was taken, and the compatible findings to acute epidural hematoma were shown. The emergency operation was performed. After the ...

Intracranial hypotension following chiropractic spinal manipulation.

We report a case of intracranial hypotension caused by chiropractic manipulation which, in contrast to previously reported cases, documents the location of the cerebrospinal fluid leak by radionuclide cisternography. Cervical spinal manipulation produced a remote lumbar dural tear in our patient. Spinal magnetic resonance imaging may falsely localize the dural tear in this condition. Although c...