Spontaneous Intracranial Hypotension

Spontaneous cerebrospinal fluid leakage causes orthostatic headache, and mental dullness, diplopia, and coma may occur. Most cases are due to a tear in the spinal CSF membranes. MRI shows enhancement of the dura, and special imaging, such as digital-subtraction myelography (shown in videos), may be...

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Bibliographic Details
Published in:The New England journal of medicine Vol. 385; no. 23; pp. 2173 - 2178
Main Author: Schievink, Wouter I
Format: Journal Article
Language:English
Published: United States Massachusetts Medical Society 02.12.2021
Subjects:
Brain - diagnostic imaging
Cerebrospinal fluid
Cerebrospinal Fluid Leak - complications
Cerebrospinal Fluid Leak - diagnosis
Collections
Coma
Diagnostic tests
Emergency Medicine
Emergency Medicine General
Epidural
Fistula
Headache - etiology
Headaches
Humans
Hypotension
Intracranial Hypotension - diagnostic imaging
Intracranial Hypotension - etiology
Intracranial Hypotension - physiopathology
Magnetic Resonance Imaging
Myelography
Neurology
Neurosurgery
Neurosurgery General
Optic Nerve - diagnostic imaging
Orthopedics
Orthopedics General
Patients
Spinal cord
Subarachnoid Space - diagnostic imaging
ISSN:0028-4793, 1533-4406, 1533-4406
Online Access:Get full text
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Summary:Spontaneous cerebrospinal fluid leakage causes orthostatic headache, and mental dullness, diplopia, and coma may occur. Most cases are due to a tear in the spinal CSF membranes. MRI shows enhancement of the dura, and special imaging, such as digital-subtraction myelography (shown in videos), may be required to show the leakage site.
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ISSN:0028-4793
1533-4406
1533-4406
DOI:10.1056/NEJMra2101561