Spontaneous CSF Leaks Low CSF Volume Syndromes

被引：57
作者：
Mokri, Bahram [1 ]
机构：
[1] Mayo Clin, Dept Neurol, Rochester, MN 55905 USA
来源：
NEUROLOGIC CLINICS | 2014年 / 32卷 / 02期
关键词：
Spontaneous CSF leak; Spontaneous intracranial hypotension (SIH); CSF hypovolemia; Orthostatic headaches; Diffuse patchy meningeal enhancement; Acquired Chiari malformation; Epidural blood patch; Radioisotope cisternography; SPONTANEOUS INTRACRANIAL HYPOTENSION; CEREBROSPINAL-FLUID LEAKS; EPIDURAL BLOOD PATCH; ORTHOSTATIC HEADACHES; MARFANS-SYNDROME; PUNCTURE HEADACHE; MR MYELOGRAPHY; RADIONUCLIDE CISTERNOGRAPHY; GADOLINIUM ENHANCEMENT; SUPERFICIAL SIDEROSIS;
D O I：
10.1016/j.ncl.2013.11.002
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Practically all cases of spontaneous intracranial hypotension results from spontaneous cerebral spinal fluid (CSF) leaks, often at the level of the spine and only rarely from the skull base. The triad of orthostatic headaches, diffuse pachymeningeal enhancement on head imaging and low CSF opening pressure is considered the hallmark of these leaks but substantial variability is noted in most aspects of this disorder including in features of the headaches, imaging and CSF findings, response to treatment and outcome.
引用
收藏
页码：397 / +
页数：27
相关论文
共 97 条
[1]   The Role of MR Myelography with Intrathecal Gadolinium in Localization of Spinal CSF Leaks in Patients with Spontaneous Intracranial Hypotension [J].
Akbar, J. J. ;
Luetmer, P. H. ;
Schwartz, K. M. ;
Hunt, C. H. ;
Diehn, F. E. ;
Eckel, L. J. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2012, 33 (03) :535-540
[2]  
Albayram S, 2002, AM J NEURORADIOL, V23, P618
[3]   PERSISTENT POST-DURAL-PUNCTURE HEADACHE TREATED WITH EPIDURAL INFUSION OF DEXTRAN [J].
ALDRETE, JA .
HEADACHE, 1994, 34 (05) :265-267
[4]   Pituitary enlargement in patients with intracranial hypotension syndrome [J].
Alvarez-Linera, J ;
Escribano, J ;
Benito-León, J ;
Porta-Etessam, J ;
Rovira, A .
NEUROLOGY, 2000, 55 (12) :1895-1897
[5]   Acquired Chiari I malformation secondary to spontaneous spinal cerebrospinal fluid leakage and chronic intracranial hypotension syndrome in seven cases [J].
Atkinson, JLD ;
Weinshenker, BG ;
Miller, GM ;
Piepgras, DG ;
Mokri, B .
JOURNAL OF NEUROSURGERY, 1998, 88 (02) :237-242
[6]   Radionuclide cisternography in intracranial hypotension syndrome [J].
Bai, JM ;
Yokoyama, K ;
Kinuya, S ;
Konishi, S ;
Michigishi, T ;
Tonami, N .
ANNALS OF NUCLEAR MEDICINE, 2002, 16 (01) :75-78
[7]   MRI findings in lumbar puncture headache syndrome: Abnormal dural-meningeal and dural venous sinus enhancement [J].
Bakshi, R ;
Mechtler, LL ;
Kamran, S ;
Gosy, E ;
Bates, VE ;
Kinkel, PR ;
Kinkel, WR .
CLINICAL IMAGING, 1999, 23 (02) :73-76
[8]   Intracranial hypotension presenting with severe encephalopathy - Case report [J].
Beck, CE ;
Rizk, NW ;
Kiger, LT ;
Spencer, D ;
Hill, L ;
Adler, JR .
JOURNAL OF NEUROSURGERY, 1998, 89 (03) :470-473
[9]   Cerebral sinus venous thrombosis in two patients with spontaneous intracranial hypotension [J].
Berroir, S ;
Grabli, D ;
Héran, F ;
Bakouche, P ;
Bousser, MG .
CEREBROVASCULAR DISEASES, 2004, 17 (01) :9-12
[10]   Intrathecal saline infusion in the treatment of obtundation associated with spontaneous intracranial hypotension: Technical case report [J].
Binder, DK ;
Dillon, WP ;
Fishman, RA ;
Schmidt, MH .
NEUROSURGERY, 2002, 51 (03) :830-836
12345678910