Revisão Revisado por pares

Spontaneous Intracranial Hypotension

2018; Elsevier BV; Volume: 57; Issue: 2 Linguagem: Inglês

10.1016/j.rcl.2018.10.004

ISSN

1557-8275

Autores

Timothy J. Amrhein, Peter G. Kranz,

Tópico(s)

Intracerebral and Subarachnoid Hemorrhage Research

Resumo

This article reviews the role of imaging in the diagnosis, management, and treatment of spontaneous intracranial hypotension (SIH). SIH is a debilitating and often misdiagnosed condition caused by either a spinal cerebrospinal fluid (CSF) leak or a CSF to venous fistula. This pathologic condition is identified and localized via spinal imaging, including computed tomographic (CT) myelography, dynamic myelography, dynamic (ultrafast) CT myelography, MR imaging, or MR myelography with intrathecal gadolinium. Treatment of SIH involves conservative measures, surgery, or imaging-guided epidural blood patching.

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