Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
European Radiology
Published in: European Radiology 6/2004

01-06-2004 | Neuro

Spontaneous intracranial hypotension: morphological findings and CSF flow dynamics studied by MRI

Authors: Zafiria Metafratzi, Maria I. Argyropoulou, Christina Mokou-Kanta, Spiros Konitsiotis, Anastasia Zikou, Stavros C. Efremidis

Published in: European Radiology | Issue 6/2004

Login to get access

Abstract

We report on a case of spontaneous intracranial hypotension (SIH) presenting with classic MR findings, such as diffuse smooth thickening and intense contrast enhancement of the dura matter, increased size of the pituitary gland and downward displacement of the brain. In this case an engorgement of the cavernous sinuses is reported as an additional imaging finding of SIH. Moreover, phase-contrast MR study of the CSF flow dynamics revealed at the level of the aqueduct a decrease of the systolic and diastolic flow volume of CSF. A normalization of the flow volume was observed when SIH subsided.
Literature
1.
Rando TA, Fishman RA (1992) Spontaneous intracranial hypotension: report of two cases and review of the literature. Neurology 42:481–487
2.
Christophoridis GA, Mehta BA, Landi JL, Czarnecki EJ, Piaskowski RA (1998) Spontaneous intracranial hypotension: report of four cases and review of the literature. Neuroradiology 40:636–643PubMed
3.
Messori A, Simonetti BF, Regnicolo L, Bella P di, Logullo F, Salvolini U (2001) Spontaneous intracranial hypotension: the value of brain measurements in diagnosis by MRI. Neuroradiology 43:453–461PubMed
4.
Reich JB, Sierra J, Camp W, Zanzonico P, Deck MD, Plum F (1993) Magnetic resonance imaging measurements and clinical changes accompanying transtentorial and foramen magnum brain herniation. Ann Neurol 33:159–170PubMed
5.
Mokri B (1999) Spontaneous cerebrospinal fluid leaks: from intracranial hypotension to cerebrospinal fluid hypovolemia evolution of a concept. Mayo Clin Proc 74:1113–1123PubMed
6.
Tsunoda A, Okudo O, Sato K (1997) MR height of the pituitary gland as a function of age and sex: especially physiological hypertrophy in adolescence and in climacterium. Am J Neuroradiol 18:551–554PubMed
7.
Henry-Feugeas M, Idy-Peretti I, Baledent O, Cornu P, Lejay H, Bittoun J, Schouman-Claeys E (2001) Cerebrospinal fluid flow waveforms MR analysis in chronic adult hydrocephalus. Invest Radiol 36:146–154CrossRefPubMed
8.
Kosmorsky GS (1995) Spontaneous intracranial hypotension: a review. J Neuro Opthalmol 15:79–83
9.
Marcellis J, Silberstein SD (1990) Spontaneous low cerebrospinal fluid pressure headache. Headache 30:192–196PubMed
10.
Mokri B (2001) The Monro-Kellie hypothesis: applications in CSF volume depletion. Neurology 56:1746–1748PubMed
11.
Mokri B, Parisi JE, Scheithauer BW, Piegras DG, Miller GM (1995) Meningeal biopsy in intracranial hypotension: meningeal enhancement on MRI. Neurology 45:1801–1807PubMed
12.
Tsui EY, Ng SH, Cheung YK, Fong D, Yuen MK (2001) Spontaneous intracranial hypotension with diffuse dural enhancement of the spinal canal and transient enlargement of the pituitary gland. Eur J Radiol 38:59–63CrossRefPubMed
13.
Page RB (1983) Directional pituitary blood flow: a microcinephotographic study. Endocrinology 112:157–165
14.
Enzmann DR, Pelc NJ (1991) Normal flow pattern of intracranial and spinal cerebrospinal fluid defined with phase-contrast cine MR imaging. Radiology 178:467–474PubMed
15.
Enzmann DR, Pelc NJ (1993) Cerebrospinal fluid flow measured by phase-contrast cine MR. Am J Neuroradiol 14:1301–1307PubMed
16.
Feinberg DA, Mark AS (1987) Human brain motion and cerebrospinal fluid circulation demonstrated with MR velocity imaging. Radiology 163:793–799PubMed
Metadata
Title
Spontaneous intracranial hypotension: morphological findings and CSF flow dynamics studied by MRI
Authors
Zafiria Metafratzi
Maria I. Argyropoulou
Christina Mokou-Kanta
Spiros Konitsiotis
Anastasia Zikou
Stavros C. Efremidis
Publication date
01-06-2004
Publisher
Springer-Verlag
Published in
European Radiology / Issue 6/2004
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-003-2136-9

Other articles of this Issue 6/2004

European Radiology 6/2004 Go to the issue

Letter to the Editor

MR venography needs to know where it stands for vascular mapping prior to fistula creation

Urogenital

USPIO-enhanced MRI for preoperative staging of gynecological pelvic tumors: preliminary results

Cardiac

Cardiac spectroscopy: techniques, indications and clinical results

Computed Tomography

Clinical evaluation of a breathing protocol for PET/CT

Musculoskeletal

Epidural fat interposition between dura mater and spinous process: a new sign for the diagnosis of spondylolysis on MR imaging of the lumbar spine

Hepatobiliary–Pancreas

Qualitative assessment of tumor vascularity in hepatocellular carcinoma by contrast-enhanced coded ultrasound: comparison with arterial phase of dynamic CT and conventional color/power Doppler ultrasound