Spontaneous intracranial hypotension

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Spontaneous intracranial hypotension (SIH) is caused by leakage of cerebrospinal fluid (CSF), with resultant CSF hypovolemia and intracranial hypotension. Although in some patients SIH may be preceded by minor trauma, it often occurs in the absence of any identifiable initiating event. Orthostatic headache is the primary clinical manifestation, usually accompanied by one or more other symptoms of SIH. Diagnosis can be reached by a combination of imaging studies, which may include MRI with gadolinium, nuclear cisternography, and myelography. Treatment ranges from conservative management, such as bed rest and hydration, to invasive procedures, such as lumbar puncture with autologous blood patch, CT-guided fibrin glue injection at the site of the leak, and open surgical intervention. Outcomes vary from complete resolution of CSF leak with alleviation of symptoms to continued and/or recurrent leaks with chronic unremitting symptomatology.

Original languageEnglish (US)
Pages (from-to)56-61
Number of pages6
JournalCurrent Pain and Headache Reports
Volume11
Issue number1
DOIs
StatePublished - Feb 2007

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Intracranial Hypotension
Fibrin Tissue Adhesive
Bed Rest
Myelography
Spinal Puncture
Gadolinium
Headache
Injections
Wounds and Injuries

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Spontaneous intracranial hypotension. / Schwedt, Todd J; Dodick, David William.

In: Current Pain and Headache Reports, Vol. 11, No. 1, 02.2007, p. 56-61.

Research output: Contribution to journalArticle

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