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Spontaneous Intracranial Hypotension : Clinical Presentation, Imaging Features and Treatment

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Author(s)
Eun-Soo ParkEalmaan Kim
Keimyung Author(s)
Kim, El
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
Journal of Korean Neurosurgical Society
Issued Date
2009
Volume
45
Issue
1
Keyword
HeadacheCerebrospinal fluid leakDural enhancementMagnetic resonance imagingBlood patchIntracranialhypotension
Abstract
Objective : In the present study, the authors investigated the clinical and imaging features as well as the therapeutic outcomes of SIH
(spontaneous intracranial hypotension) patients.
Methods : A retrospective review of 12 SIH patients was carried out. The diagnostic work-up included lumbar tapping and measurement of CSF
opening pressure, radioisotope cisternography, brain and spinal magnetic resonance imaging (MRI), and computed tomography (CT) myelography.
Autologous epidural blood patching was performed in patients who did not respond to conservative therapies, including analgesics, steroids,
hydration and rest.
Results : Typical postural headache was found in 11 (91%) patients. Nine (75%) patients showed pachymeningeal enhancement on their initial
T1-weighted MR images. The CSF opening pressure was less than 60 mmH2O in 9 of 11 patients. Autologous epidural blood patching was
performed in 7 patients, and all of them showed good responses.
Conclusion : SIH can present with various clinical presentations and neuroimaging findings. Autologous epidural blood patching is thought to be
the treatment of choice for patients with SIH.
Keimyung Author(s)(Kor)
김엘
Publisher
School of Medicine
Citation
Eun-Soo Park and Ealmaan Kim. (2009). Spontaneous Intracranial Hypotension : Clinical Presentation, Imaging Features and Treatment. Journal of Korean Neurosurgical Society, 45(1), 1–4. doi: 10.3340/jkns.2009.45.1.1
Type
Article
ISSN
2005-3711
DOI
10.3340/jkns.2009.45.1.1
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34146
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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