link
Bookmarks
Intracranial Hypotension
Jeffrey S. Ross, MD; Kevin R. Moore, MD
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
0
9
12
4

KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Intracranial hypotension (IH)
              • Spontaneous intracranial hypotension (SIH)
            • Definitions

              • Orthostatic headache (and variety of other symptoms) caused by leakage of CSF from spine

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Angiographic Findings

                      • Nonvascular Interventions

                        • Nuclear Medicine Findings

                          • Imaging Recommendations

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                • Staging, Grading, & Classification

                                  • Gross Pathologic & Surgical Features

                                    • Microscopic Features

                                      CLINICAL ISSUES

                                      • Presentation

                                        • Demographics

                                          • Natural History & Prognosis

                                            • Treatment

                                              DIAGNOSTIC CHECKLIST

                                              • Consider

                                                • Image Interpretation Pearls

                                                  Selected References

                                                  1. Amrhein TJ et al: Spontaneous intracranial hypotension: imaging in diagnosis and treatment. Radiol Clin North Am. 57(2):439-51, 2019
                                                  2. 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
                                                  3. Kim SC et al: MRI findings of spontaneous intracranial hypotension: usefulness of straight sinus distention. AJR Am J Roentgenol. 1-7, 2019
                                                  4. Upadhyaya P et al: A review of spontaneous intracranial hypotension. Curr Neurol Neurosci Rep. 19(5):22, 2019
                                                  5. Dillon WP: Challenges in the diagnosis and treatment of spontaneous intracranial hypotension. Radiology. 289(3):773-4, 2018
                                                  6. Lee JY et al: Clinical effect of the proximity of epidural blood patch injection to the leakage site in spontaneous intracranial hypotension. Br J Neurosurg. 32(6):671-3, 2018
                                                  7. Wu JW et al: Correlations among brain and spinal MRI findings in spontaneous intracranial hypotension. Cephalalgia. 38(14):1998-2005, 2018
                                                  8. Nesbitt C et al: Lumbar blood patching for proximal CSF leaks: where does the blood go? BMJ Case Rep. 2015, 2015
                                                  9. Xia P et al: Risk factors for subdural haematoma in patients with spontaneous intracranial hypotension. PLoS One. 10(4):e0123616, 2015
                                                  10. Graff-Radford SB et al: High-pressure headaches, low-pressure syndromes, and CSF leaks: diagnosis and management. Headache. 54(2):394-401, 2014
                                                  11. Scott S et al: Low pressure headaches caused by spontaneous intracranial hypotension. BMJ. 349:g6219, 2014
                                                  12. Tung H et al: Usefulness of phase-contrast magnetic resonance imaging for diagnosis and treatment evaluation in patients with SIH. Cephalalgia. 34(8):584-93, 2014
                                                  13. Schievink WI et al: Diagnostic criteria for headache due to spontaneous intracranial hypotension: a perspective. Headache. 51(9):1442-4, 2011
                                                  14. Shankar JJ et al: The venous hinge--an objective sign for the diagnosis and follow-up of treatment in patients with intracranial hypotension syndrome. Neuroradiology. 51(7):453-6, 2009
                                                  15. Su CS et al: Clinical features, neuroimaging and treatment of spontaneous intracranial hypotension and magnetic resonance imaging evidence of blind epidural blood patch. Eur Neurol. 61(5):301-7, 2009
                                                  Related Anatomy
                                                  Loading...
                                                  Related Differential Diagnoses
                                                  Loading...
                                                  References
                                                  Tables

                                                  Tables

                                                  KEY FACTS

                                                  • Terminology

                                                    • Imaging

                                                      • Top Differential Diagnoses

                                                        • Clinical Issues

                                                          • Diagnostic Checklist

                                                            TERMINOLOGY

                                                            • Abbreviations

                                                              • Intracranial hypotension (IH)
                                                              • Spontaneous intracranial hypotension (SIH)
                                                            • Definitions

                                                              • Orthostatic headache (and variety of other symptoms) caused by leakage of CSF from spine

                                                            IMAGING

                                                            • General Features

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Ultrasonographic Findings

                                                                    • Angiographic Findings

                                                                      • Nonvascular Interventions

                                                                        • Nuclear Medicine Findings

                                                                          • Imaging Recommendations

                                                                            DIFFERENTIAL DIAGNOSIS

                                                                              PATHOLOGY

                                                                              • General Features

                                                                                • Staging, Grading, & Classification

                                                                                  • Gross Pathologic & Surgical Features

                                                                                    • Microscopic Features

                                                                                      CLINICAL ISSUES

                                                                                      • Presentation

                                                                                        • Demographics

                                                                                          • Natural History & Prognosis

                                                                                            • Treatment

                                                                                              DIAGNOSTIC CHECKLIST

                                                                                              • Consider

                                                                                                • Image Interpretation Pearls

                                                                                                  Selected References

                                                                                                  1. Amrhein TJ et al: Spontaneous intracranial hypotension: imaging in diagnosis and treatment. Radiol Clin North Am. 57(2):439-51, 2019
                                                                                                  2. 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
                                                                                                  3. Kim SC et al: MRI findings of spontaneous intracranial hypotension: usefulness of straight sinus distention. AJR Am J Roentgenol. 1-7, 2019
                                                                                                  4. Upadhyaya P et al: A review of spontaneous intracranial hypotension. Curr Neurol Neurosci Rep. 19(5):22, 2019
                                                                                                  5. Dillon WP: Challenges in the diagnosis and treatment of spontaneous intracranial hypotension. Radiology. 289(3):773-4, 2018
                                                                                                  6. Lee JY et al: Clinical effect of the proximity of epidural blood patch injection to the leakage site in spontaneous intracranial hypotension. Br J Neurosurg. 32(6):671-3, 2018
                                                                                                  7. Wu JW et al: Correlations among brain and spinal MRI findings in spontaneous intracranial hypotension. Cephalalgia. 38(14):1998-2005, 2018
                                                                                                  8. Nesbitt C et al: Lumbar blood patching for proximal CSF leaks: where does the blood go? BMJ Case Rep. 2015, 2015
                                                                                                  9. Xia P et al: Risk factors for subdural haematoma in patients with spontaneous intracranial hypotension. PLoS One. 10(4):e0123616, 2015
                                                                                                  10. Graff-Radford SB et al: High-pressure headaches, low-pressure syndromes, and CSF leaks: diagnosis and management. Headache. 54(2):394-401, 2014
                                                                                                  11. Scott S et al: Low pressure headaches caused by spontaneous intracranial hypotension. BMJ. 349:g6219, 2014
                                                                                                  12. Tung H et al: Usefulness of phase-contrast magnetic resonance imaging for diagnosis and treatment evaluation in patients with SIH. Cephalalgia. 34(8):584-93, 2014
                                                                                                  13. Schievink WI et al: Diagnostic criteria for headache due to spontaneous intracranial hypotension: a perspective. Headache. 51(9):1442-4, 2011
                                                                                                  14. Shankar JJ et al: The venous hinge--an objective sign for the diagnosis and follow-up of treatment in patients with intracranial hypotension syndrome. Neuroradiology. 51(7):453-6, 2009
                                                                                                  15. Su CS et al: Clinical features, neuroimaging and treatment of spontaneous intracranial hypotension and magnetic resonance imaging evidence of blind epidural blood patch. Eur Neurol. 61(5):301-7, 2009