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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Diagnostic Checklist
TERMINOLOGY
Abbreviations
- Spontaneous intracranial hypotension (SIH)
Definitions
- Spinal CSF leak into epidural space from ventral dural tear, usually calcific discogenic microspur
- Fast CSF leak with epidural fluid present
- Spinal CSF leak into epidural space from ventral dural tear, usually calcific discogenic microspur
IMAGING
General Features
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Dobrocky T et al: Assessing spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension with a scoring system based on brain magnetic resonance imaging findings. JAMA Neurol. 76(5):580-7, 2019
- Dobrocky T et al: Cryptogenic cerebrospinal fluid leaks in spontaneous intracranial hypotension: role of dynamic CT myelography. Radiology. 289(3):766-72, 2018
- Kranz PG et al: CSF venous fistulas in spontaneous intracranial hypotension: imaging characteristics on dynamic and CT myelography. AJR Am J Roentgenol. 209(6):1360-6, 2017
- Beck J et al: Diskogenic microspurs as a major cause of intractable spontaneous intracranial hypotension. Neurology. 87(12):1220-6, 2016
- Kranz PG et al: Myelographic techniques for the detection of spinal CSF leaks in spontaneous intracranial hypotension. AJR Am J Roentgenol. 206(1):8-19, 2016
- Schievink WI et al: A classification system of spontaneous spinal CSF leaks. Neurology. 87(7):673-9, 2016
- Schievink WI et al: CSF-venous fistula in spontaneous intracranial hypotension. Neurology. 83(5):472-3, 2014
- Akbar JJ et al: The role of MR myelography with intrathecal gadolinium in localization of spinal CSF leaks in patients with spontaneous intracranial hypotension. AJNR Am J Neuroradiol. 33(3):535-40, 2012
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Diagnostic Checklist
TERMINOLOGY
Abbreviations
- Spontaneous intracranial hypotension (SIH)
Definitions
- Spinal CSF leak into epidural space from ventral dural tear, usually calcific discogenic microspur
- Fast CSF leak with epidural fluid present
- Spinal CSF leak into epidural space from ventral dural tear, usually calcific discogenic microspur
IMAGING
General Features
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Consider
Selected References
- Dobrocky T et al: Assessing spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension with a scoring system based on brain magnetic resonance imaging findings. JAMA Neurol. 76(5):580-7, 2019
- Dobrocky T et al: Cryptogenic cerebrospinal fluid leaks in spontaneous intracranial hypotension: role of dynamic CT myelography. Radiology. 289(3):766-72, 2018
- Kranz PG et al: CSF venous fistulas in spontaneous intracranial hypotension: imaging characteristics on dynamic and CT myelography. AJR Am J Roentgenol. 209(6):1360-6, 2017
- Beck J et al: Diskogenic microspurs as a major cause of intractable spontaneous intracranial hypotension. Neurology. 87(12):1220-6, 2016
- Kranz PG et al: Myelographic techniques for the detection of spinal CSF leaks in spontaneous intracranial hypotension. AJR Am J Roentgenol. 206(1):8-19, 2016
- Schievink WI et al: A classification system of spontaneous spinal CSF leaks. Neurology. 87(7):673-9, 2016
- Schievink WI et al: CSF-venous fistula in spontaneous intracranial hypotension. Neurology. 83(5):472-3, 2014
- Akbar JJ et al: The role of MR myelography with intrathecal gadolinium in localization of spinal CSF leaks in patients with spontaneous intracranial hypotension. AJNR Am J Neuroradiol. 33(3):535-40, 2012
