Published in:
01-12-2020 | Hypotension | BRIEF COMMUNICATION
Clinical and radiological prognostic factors in spontaneous intracranial hypotension: a case series
Authors:
Umberto Pensato, Cristina Russo, Valentina Favoni, Luigi Cirillo, Gian Maria Asioli, Pietro Cortelli, Sabina Cevoli, Giulia Pierangeli
Published in:
Neurological Sciences
|
Special Issue 2/2020
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Excerpt
Spontaneous intracranial hypotension (SIH) results from low cerebrospinal fluid (CSF) volume, typically secondary to a spinal CSF leak. CSF hypovolemia leads to brain sagging, particularly in orthostatic position, and expansion of the intracranial venous compartment. These pathophysiological mechanisms are responsible for the clinical presentation that usually consists of postural headache variably associated with other neurological symptoms. The wide range of clinical manifestations, including the absence of typical headache, may delay diagnosis. Magnetic resonance imaging (MRI) supports diagnosis showing typical findings including subdural fluid collections, pachymeningeal enhancement and brain sagging. …
