A complicated case of intracranial hypotension: Diagnostic and management strategies

Neurological Sciences

Volumn 27, Issue 1, 2006, Pages 63-66

  Akkawi, N ^a   Locatelli, P ^b   Borroni, B ^b   Agosti, C ^b   Pezzini, A ^b   Stefini, R ^b   Padovani, A ^b  

^a UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^b UNIVERSITY OF BRESCIA   (Italy)

Author keywords

Epidural blood patching; Low cerebrospinal fluid; Spontaneous intracranial hypotension

Indexed keywords

SODIUM CHLORIDE;

AGED; ARTICLE; BLOOD AUTOTRANSFUSION; CASE REPORT; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; CRANIAL NEUROPATHY; GAZE PARALYSIS; GENERAL CONDITION DETERIORATION; HEADACHE; HOSPITAL DISCHARGE; HUMAN; INTRACRANIAL HYPOTENSION; MALE; MEDICAL CARE; NUCLEAR MAGNETIC RESONANCE IMAGING; SUBDURAL HEMATOMA; SYMPTOMATOLOGY; BRAIN; CEREBROSPINAL FLUID PRESSURE; CLINICAL PROTOCOL; CONSCIOUSNESS DISORDER; CRANIOTOMY; DISEASE COURSE; NEUROSURGERY; PATHOLOGY; PATHOPHYSIOLOGY; PHYSIOLOGY; STANDARD; SUBARACHNOID SPACE; TREATMENT OUTCOME;

AGED; BLOOD PATCH, EPIDURAL; BRAIN; CEREBROSPINAL FLUID PRESSURE; CLINICAL PROTOCOLS; CONSCIOUSNESS DISORDERS; CRANIOTOMY; DISEASE PROGRESSION; HEADACHE; HEMATOMA, SUBDURAL; HUMANS; INTRACRANIAL HYPOTENSION; MAGNETIC RESONANCE IMAGING; MALE; NEUROSURGICAL PROCEDURES; SODIUM CHLORIDE; SUBARACHNOID SPACE; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 33745228939     PISSN: 15901874     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10072-006-0566-2     Document Type: Article

References (14)

1. Mokri B, Piepgras DG, Miller GM (1997) Syndrome of orthostatic headaches and diffuse pachymeningeal gadolinium enhancement. Mayo Clin Proc 72:400-413
2. Rando TA, Fishman RA (1992) Spontaneous intracranial hypotension: Report of two cases and review of the literature. Neurology 42:481-487
3. Fishman RA, Dillon WP(1993) Dural enhancement and cerebral displacement secondary to intracranial hypotension. Neurology 43:609-611
4. Pannullo SC, Reich JB, Krol G, Deck MD, Posner JB (1993) MRI changes in intracranial hypotension. Neurology 43:919-926
5. Good DC, Ghobrial M (1993) Pathologic changes associated with intracranial hypotension and meningeal enhancement on MRI. Neurology 43:2698-2700
6. Mokri B, Parisi JE, Scheithauer BW, Piepgras DG, Miller GM (1995) Meningeal biopsy in intracranial hypotension: Meningeal enhancement on MRI. Neurology 45:1801-1807
7. Hochman MS, Naidich TP, Kobetz SA, Fernandez-Maitin A (1992) Spontaneous intracranial hypotension with pachymeningeal enhancement on MRI. Neurology 42:1628-1630
8. Chiapparini L, Farina L, D'Incerti L et al (2002) Spinal radiological findings in nine patients with spontaneous intracranial hypotension. Neuroradiology 44:143-150
9. de Noronha RJ, Sharrack B, Hadjivassiliou M, Romanowski CA (2003) Subdural haematoma: A potentially serious consequence of spontaneous intracranial hypotension. J Neurol Neurosurg Psychiatry 74:752-755
10. Binder DK, Dillon WP, Fishman RA, Schmidt MH (2002) Intrathecal saline infusion in the treatment of obtundation associated with spontaneous intracranial hypotension: Technical case report. Neurosurgery 513:830-837
11. Pleasure SJ, Abosch A, Friedman J et al (1998) Spontaneous intracranial hypotension resulting in stupor caused by diencephalic compression. Neurology 50:1854-1857
12. Sencakova D, Mokri B, McClelland RL (2001) The efficacy of epidural blood patch in spontaneous CSF leaks. Neurology 57:1921-1923
13. Schievink WI, Maya MM, Moser FG, Tourje J (2005) Spectrum of subdural fluid collections in spontaneous intracranial hypotension. J Neurosurg 103:608-613
14. Ikeda N, Wakabayashi S, Nagao K et al (2005) Two cases of spontaneous intracranial hypotension associated with chronic subdural hematoma only treated with burr hole irrigation of the hematomas. No To Shinkei 57:701-707