Skip to main content
Top
Published in: Neurological Sciences 1/2011

01-05-2011 | Treatment

Treatment of alterations in CSF dynamics

Authors: E. Mea, A. Franzini, D. D’Amico, M. Leone, A. Proietti Cecchini, V. Tullo, L. Chiapparini, G. Bussone

Published in: Neurological Sciences | Special Issue 1/2011

Login to get access

Abstract

Alterations of the intracranial pressure (ICP) may be present in several conditions. The aim of this brief review is to focus on two relatively rare conditions characterized by alterations in cerebro-spinal fluid dynamics—Spontaneous Intracranial hypotension (SIH) and Idiopathic Intracranial hypertension (IIH)—in which headache is one of the key symptoms. The most relevant clinical features, the expected MRI findings, and the therapeutic options regarding both conditions are discussed.
Literature
1.
go back to reference Steiner LA, Andrews PJ (2006) Monitoring the injured brain: ICP and CBF. Br J Anaesth 97(1):26–38PubMedCrossRef Steiner LA, Andrews PJ (2006) Monitoring the injured brain: ICP and CBF. Br J Anaesth 97(1):26–38PubMedCrossRef
2.
go back to reference Rangel-Castilla L, Gopinath S, Robertson CS (2008) Management of intracranial hypertension. Neurol Clin 26(2):521–541PubMedCrossRef Rangel-Castilla L, Gopinath S, Robertson CS (2008) Management of intracranial hypertension. Neurol Clin 26(2):521–541PubMedCrossRef
3.
go back to reference Mokri B (2001) The Monro-Kellie hypothesis: applications in CSF volume depletion. Neurology 56(12):1746–1748PubMed Mokri B (2001) The Monro-Kellie hypothesis: applications in CSF volume depletion. Neurology 56(12):1746–1748PubMed
4.
go back to reference Schievink WI (2008) Spontaneous spinal cerebrospinal fluid leaks. Cephalalgia 28(12):1357–1360CrossRef Schievink WI (2008) Spontaneous spinal cerebrospinal fluid leaks. Cephalalgia 28(12):1357–1360CrossRef
5.
go back to reference Headache Classification Subcommittee of the International Headache Society (2004) International classification of headache disorders, 2nd edition. Cephalalgia 24 Headache Classification Subcommittee of the International Headache Society (2004) International classification of headache disorders, 2nd edition. Cephalalgia 24
6.
go back to reference Schievink WI (2006) Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA 295(19):2286–2296PubMedCrossRef Schievink WI (2006) Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA 295(19):2286–2296PubMedCrossRef
7.
go back to reference Mea E, Chiapparini L, Savoiardo M, Franzini A, Grimaldi D, Bussone G, Leone M (2009) Application of IHS criteria to headache attributed to spontaneous intracranial hypotension in a large population. Cephalalgia 29(4):418–422PubMedCrossRef Mea E, Chiapparini L, Savoiardo M, Franzini A, Grimaldi D, Bussone G, Leone M (2009) Application of IHS criteria to headache attributed to spontaneous intracranial hypotension in a large population. Cephalalgia 29(4):418–422PubMedCrossRef
8.
go back to reference Pleasure SJ, Abosch A, Friedman J et al (1998) Spontaneous intracranial hypotension resulting in stupor caused by diencephalic compression. Neurology 50(6):1854–1857PubMed Pleasure SJ, Abosch A, Friedman J et al (1998) Spontaneous intracranial hypotension resulting in stupor caused by diencephalic compression. Neurology 50(6):1854–1857PubMed
9.
go back to reference Radhakrishnan K, Ahlskog JE, Garrity JA et al (1994) Idiopathic intracranial hypertension. Mayo Clin Proc 69(2):169–180PubMed Radhakrishnan K, Ahlskog JE, Garrity JA et al (1994) Idiopathic intracranial hypertension. Mayo Clin Proc 69(2):169–180PubMed
10.
go back to reference Wall M (1991) Idiopathic intracranial hypertension. Neurol Clin 9(1):593–617 Wall M (1991) Idiopathic intracranial hypertension. Neurol Clin 9(1):593–617
11.
go back to reference Schievink WI (2003) Misdiagnosis of spontaneous intracranial hypotension. Arch Neurol 60(12):1713e8CrossRef Schievink WI (2003) Misdiagnosis of spontaneous intracranial hypotension. Arch Neurol 60(12):1713e8CrossRef
12.
go back to reference Schievink WI, Maya MM, Moser F et al (2007) Frequency of spontaneous intracranial hypotension in the emergency department. J Headache Pain 8(6):325e8CrossRef Schievink WI, Maya MM, Moser F et al (2007) Frequency of spontaneous intracranial hypotension in the emergency department. J Headache Pain 8(6):325e8CrossRef
13.
go back to reference Szeinfeld M, Ihmeidan IH, Moser MM et al (1986) Epidural blood patch: evaluation of the volume and spread of blood injected into the epidural space. Anesthesiology 64(6):820e2CrossRef Szeinfeld M, Ihmeidan IH, Moser MM et al (1986) Epidural blood patch: evaluation of the volume and spread of blood injected into the epidural space. Anesthesiology 64(6):820e2CrossRef
14.
go back to reference Franzini A, Messina G, Nazzi V, Mea E, Leone M, Chiapparini L, Broggi G, Bussone G (2010) Spontaneous intracranial hypotension syndrome: a novel speculative physiopathological hypothesis and a novel patch method in a series of 28 consecutive patients. J Neurosurg 112(2):300–306PubMedCrossRef Franzini A, Messina G, Nazzi V, Mea E, Leone M, Chiapparini L, Broggi G, Bussone G (2010) Spontaneous intracranial hypotension syndrome: a novel speculative physiopathological hypothesis and a novel patch method in a series of 28 consecutive patients. J Neurosurg 112(2):300–306PubMedCrossRef
15.
go back to reference Friedman DI, Jacobson DM (2002) Diagnostic criteria for idiopathic intracranial hypertension. Neurology 59(10):1492–1495PubMed Friedman DI, Jacobson DM (2002) Diagnostic criteria for idiopathic intracranial hypertension. Neurology 59(10):1492–1495PubMed
16.
go back to reference Randhawa S, Van Stavern GP (2008) Idiopathic intracranial hypertension (pseudotumor cerebri). Curr Opin Ophthalmol 19(6):445–453PubMedCrossRef Randhawa S, Van Stavern GP (2008) Idiopathic intracranial hypertension (pseudotumor cerebri). Curr Opin Ophthalmol 19(6):445–453PubMedCrossRef
17.
go back to reference De Simone R, Ranieri A, Bonavita V (2010) Advancement in idiopathic intracranial hypertension pathogenesis: focus on sinus venous stenosis. Neurol Sci 31(Suppl 1):S33–S39PubMedCrossRef De Simone R, Ranieri A, Bonavita V (2010) Advancement in idiopathic intracranial hypertension pathogenesis: focus on sinus venous stenosis. Neurol Sci 31(Suppl 1):S33–S39PubMedCrossRef
18.
go back to reference Wall M (2008) Idiopathic intracranial hypertension (pseudotumor cerebri). Curr Neurol Neurosci Rep 8(2):87–93PubMedCrossRef Wall M (2008) Idiopathic intracranial hypertension (pseudotumor cerebri). Curr Neurol Neurosci Rep 8(2):87–93PubMedCrossRef
19.
go back to reference Parizel PM, Makkat S, Jorens PG et al (2002) Brainstem hemorrhage in descending transtentorial herniation (Duret hemorrhage). Intensive Care Med 28(1):85e8CrossRef Parizel PM, Makkat S, Jorens PG et al (2002) Brainstem hemorrhage in descending transtentorial herniation (Duret hemorrhage). Intensive Care Med 28(1):85e8CrossRef
20.
go back to reference Agid R, Farb RI (2006) Neuroimaging in the diagnosis of idiopathic intracranial hypertension. Minerva Med 97(4):365–370PubMed Agid R, Farb RI (2006) Neuroimaging in the diagnosis of idiopathic intracranial hypertension. Minerva Med 97(4):365–370PubMed
21.
go back to reference Brodsky MC, Vaphiades M (1998) Magnetic resonance imaging in pseudotumor cerebri. Ophthalmology 105(9):1686–1693PubMedCrossRef Brodsky MC, Vaphiades M (1998) Magnetic resonance imaging in pseudotumor cerebri. Ophthalmology 105(9):1686–1693PubMedCrossRef
Metadata
Title
Treatment of alterations in CSF dynamics
Authors
E. Mea
A. Franzini
D. D’Amico
M. Leone
A. Proietti Cecchini
V. Tullo
L. Chiapparini
G. Bussone
Publication date
01-05-2011
Publisher
Springer Milan
Published in
Neurological Sciences / Issue Special Issue 1/2011
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-011-0559-7

Other articles of this Special Issue 1/2011

Neurological Sciences 1/2011 Go to the issue