Spontaneous intracranial hypotension: a case series and literature review
Spontaneous intracranial hypotension (SIH) is a condition of negative intracranial pressure resulting from cerebrospinal fluid (CSF) leakage from the dural sac and is a well-known cause of orthostatic headache. Diagnosis and management can be difficult, often requiring coordination between multiple...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Termedia Publishing House
2023-04-01
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| Series: | Folia Neuropathologica |
| Subjects: | |
| Online Access: | https://www.termedia.pl/Spontaneous-intracranial-hypotension-a-case-series-and-literature-review,20,50431,1,1.html |
| _version_ | 1797435176842690560 |
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| author | Michele Pistacchi Andrea Pezzato Roberta Rudà Manuela Gioulis Franco Contin Federica Fragiacomo Sandro Zambito Marsala |
| author_facet | Michele Pistacchi Andrea Pezzato Roberta Rudà Manuela Gioulis Franco Contin Federica Fragiacomo Sandro Zambito Marsala |
| author_sort | Michele Pistacchi |
| collection | DOAJ |
| description | Spontaneous intracranial hypotension (SIH) is a condition of negative intracranial pressure resulting from cerebrospinal fluid (CSF) leakage from the dural sac and is a well-known cause of orthostatic headache. Diagnosis and management can be difficult, often requiring coordination between multiple disciplines. Low CSF pressure and diffuse meningeal enhancement on brain MRI are the major instrumental features of the classic syndrome. Neuroimaging plays a key role in diagnosing SIH, particularly in atypical clinical presentations, by recognizing the specific findings of brain sagging on MRI and detecting the level of CSF leak on spinal imaging, thus guiding therapy accordingly. Since SIH could present with such a heterogeneous clinical picture, careful history taking and increased awareness of atypical presentations are of utmost importance.
We review the existing SIH literature, illustrate management, clinical and neuroimaging findings of four consecutive patients with atypical SIH, who were recently referred to our hospital for evaluation to simplify and streamline the management of SIH. |
| first_indexed | 2024-03-09T10:43:26Z |
| format | Article |
| id | doaj.art-51d19133235a4491b7c155b4517eb5de |
| institution | Directory Open Access Journal |
| issn | 1641-4640 1509-572X |
| language | English |
| last_indexed | 2024-03-09T10:43:26Z |
| publishDate | 2023-04-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Folia Neuropathologica |
| spelling | doaj.art-51d19133235a4491b7c155b4517eb5de2023-12-01T11:36:45ZengTermedia Publishing HouseFolia Neuropathologica1641-46401509-572X2023-04-0161322523410.5114/fn.2023.12620950431Spontaneous intracranial hypotension: a case series and literature reviewMichele PistacchiAndrea PezzatoRoberta RudàManuela GioulisFranco ContinFederica FragiacomoSandro Zambito MarsalaSpontaneous intracranial hypotension (SIH) is a condition of negative intracranial pressure resulting from cerebrospinal fluid (CSF) leakage from the dural sac and is a well-known cause of orthostatic headache. Diagnosis and management can be difficult, often requiring coordination between multiple disciplines. Low CSF pressure and diffuse meningeal enhancement on brain MRI are the major instrumental features of the classic syndrome. Neuroimaging plays a key role in diagnosing SIH, particularly in atypical clinical presentations, by recognizing the specific findings of brain sagging on MRI and detecting the level of CSF leak on spinal imaging, thus guiding therapy accordingly. Since SIH could present with such a heterogeneous clinical picture, careful history taking and increased awareness of atypical presentations are of utmost importance. We review the existing SIH literature, illustrate management, clinical and neuroimaging findings of four consecutive patients with atypical SIH, who were recently referred to our hospital for evaluation to simplify and streamline the management of SIH.https://www.termedia.pl/Spontaneous-intracranial-hypotension-a-case-series-and-literature-review,20,50431,1,1.htmlorthostatic headache spontaneous intracranial hypotension low csf pressure |
| spellingShingle | Michele Pistacchi Andrea Pezzato Roberta Rudà Manuela Gioulis Franco Contin Federica Fragiacomo Sandro Zambito Marsala Spontaneous intracranial hypotension: a case series and literature review Folia Neuropathologica orthostatic headache spontaneous intracranial hypotension low csf pressure |
| title | Spontaneous intracranial hypotension: a case series and literature review |
| title_full | Spontaneous intracranial hypotension: a case series and literature review |
| title_fullStr | Spontaneous intracranial hypotension: a case series and literature review |
| title_full_unstemmed | Spontaneous intracranial hypotension: a case series and literature review |
| title_short | Spontaneous intracranial hypotension: a case series and literature review |
| title_sort | spontaneous intracranial hypotension a case series and literature review |
| topic | orthostatic headache spontaneous intracranial hypotension low csf pressure |
| url | https://www.termedia.pl/Spontaneous-intracranial-hypotension-a-case-series-and-literature-review,20,50431,1,1.html |
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