Spontaneous intracranial hypotension: features, diagnosis and management
نویسندگان
چکیده
منابع مشابه
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...
متن کاملPathophysiology 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...
متن کاملSpontaneous intracranial hypotension: presentation, diagnosis, and treatment.
1327 December 2014 B ecause of cerebrospinal fluid (csF) leak, orthostatic headaches sometimes follow neuraxial blockade or diagnostic lumbar puncture. etiology and treatment are straightforward in those settings, since a site of dural disruption is known.1,2 With patient consent, we present a case in which intracranial hypotension resulted from dural puncture by a vertebral osteophytic spur. T...
متن کاملAngiographic features of spontaneous intracranial hypotension.
The imaging characteristics of spontaneous intracranial hypotension have been well described in the clinical and imaging literature. We present a case of spontaneous intracranial hypotension with typical clinical and laboratory features that were thought to be suspicious for a ruptured aneurysm. Blood in the CSF in conjunction with headaches led to cerebral angiography that showed diffuse enlar...
متن کاملSpontaneous intracranial hypotension: dilemmas in diagnosis.
Intracranial hypotension is not an uncommon diagnosis after lumbar puncture or neurosurgery. However, spontaneous intracranial hypotension (SIH) is a poorly understood entity that can present with a wide variety of symptoms/signs ranging from headache to coma. SIH may result from an occult spinal cerebrospinal fluid (CSF) leak. Alternatively, because a CSF leak is not always found, some posit t...
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ژورنال
عنوان ژورنال: Journal of Neurology
سال: 2021
ISSN: 0340-5354,1432-1459
DOI: 10.1007/s00415-021-10500-1