PMID: 11898506Mar 20, 2002Paper

Spontaneous intracranial hypotension

Current Neurology and Neuroscience Reports
B Mokri

Abstract

Spontaneous intracranial hypotension (SIH) is typically manifested by orthostatic headaches that may be associated with one or more of several other symptoms, including pain or stiffness of the neck, nausea, emesis, horizontal diplopia, dizziness, change in hearing, visual blurring or visual field cuts, photophobia, interscapular pain, and occasionally face numbness or weakness or radicular upper-limb symptoms. Cerebrospinal fluid (CSF) pressures, by definition, are quite low. SIH almost invariably results from a spontaneous CSF leak. Only very infrequently is this leak at the skull base (cribriform plate). In the overwhelming majority of patients, the leak is at the level of the spine, particularly the thoracic spine and cervicothoracic junction. Sometimes, documented leaks and typical clinical and imaging findings of SIH are associated with CSF pressures that are consistently within limits of normal. Magnetic resonance imaging of the head typically shows diffuse pachymeningeal gadolinium enhancement, often with imaging evidence of sinking of the brain, and less frequently with subdural fluid collections, engorged cerebral venous sinuses, enlarged pituitary gland, or decreased size of the ventricles. Radioisotope cisternograph...Continue Reading

References

Oct 1, 1979·Anesthesiology·D J PavlinV Rusch
Feb 1, 1992·Headache·S D Silberstein, J Marcelis
Aug 1, 1992·Neurology·M S HochmanA Fernandez-Maitin
Dec 1, 1991·Cephalalgia : an International Journal of Headache·S G Sable, N M Ramadan
Mar 1, 1990·Headache·N H Raskin
Mar 1, 1990·Headache·J Marcelis, S D Silberstein
Apr 1, 1990·Cephalalgia : an International Journal of Headache·A MolinsA Codina
Feb 1, 1989·Journal of Neurology, Neurosurgery, and Psychiatry·R GrantG M Teasdale
May 1, 1985·Anesthesia and Analgesia·P H Rosenberg, J E Heavner
Apr 1, 1985·Anaesthesia·J S Crawford
Mar 1, 1993·Internal Medicine·M YamamotoK Hashimoto
Jan 1, 1993·Neurosurgery·D E HainesO al-Mefty
May 1, 1993·Neurology·S C PannulloJ B Posner
Nov 1, 1995·Journal of Neurology, Neurosurgery, and Psychiatry·R J DavenportC P Warlow
Feb 6, 1998·Journal of Neurosurgery·W I SchievinkM J Ebersold
Sep 2, 1998·Journal of Neurosurgery·C E BeckJ R Adler
Sep 2, 1998·Journal of Neurosurgery·A G VishtehV K Sonntag
Jul 15, 1999·Archives of Neurology·A S PakiamA E Lang
Aug 12, 1999·Anesthesiology·B J CrulH C Schoonderwaldt
Jun 10, 2000·Clinical Privilege White Paper
Aug 23, 2000·Neurology·B Mokri, J L Atkinson
May 1, 1960·Neurology·W E BELLA L SAHS

❮ Previous
Next ❯

Citations

Feb 27, 2004·Current Neurology and Neuroscience Reports·Bahram Mokri
Jun 7, 2012·Acta neurologica Belgica·Basak Karakurum GokselMehmet Karatas
Jul 9, 2008·The Clinical Neuropsychologist·L Walker, C DeMeulemeester
Jan 28, 2003·Journal of Neurosurgery·Tomohiro InoueWilliam E Krauss
Jul 11, 2006·Neurosurgery·Faisal T SayerBertil Romner
Aug 15, 2014·Anesthesiology·Elizabeth Cox WilliamsJingping Wang
Feb 18, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·P MartineauJai Shankar
Jul 23, 2002·Cephalalgia : an International Journal of Headache·E J ErossM Lyons
Aug 25, 2007·Anesthesia and Analgesia·Shinichi IshikawaKiyoshi Morita
Apr 1, 2013·JBJS Case Connector·J A J MutchJ M Mac-Thiong
Nov 13, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Laura V SainzMartin U Schuhmann
Apr 4, 2006·Neurosurgery·Aaron A Cohen-GadolJohn L D Atkinson
Apr 1, 2005·Acta Ophthalmologica Scandinavica·Matthias GruebVolker Herzau
Jun 5, 2010·AJNR. American Journal of Neuroradiology·A RohrO Jansen
May 3, 2014·SpringerPlus·Asita S SarrafzadehKarl Schaller
Sep 24, 2016·Neurocritical Care·Christopher S GraffeoEelco F M Wijdicks
Dec 26, 2013·Clinical Nuclear Medicine·Hong Yun MaLeonard M Freeman
Jan 17, 2017·The Journal of Headache and Pain·Jin-Ping LinXiao-Xu Ma
Dec 27, 2003·Anesthesiology·Isuta NishioJohn P Williams
Aug 3, 2019·Neurocritical Care·Gabriela S GilmourPhilippe Couillard
Nov 30, 2004·Clinical Neurology and Neurosurgery·R Brouns, P P De Deyn

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.

Related Papers

Annals of Indian Academy of Neurology
Lekha Pandit, J M K Murthy
Emergency Medicine Australasia : EMA
Simon A BroadleyIain T Ferguson
© 2022 Meta ULC. All rights reserved