Diagnosis and surgical therapy of spontaneous intracranial hypotension.
Publisher DOI
PubMed ID
37993413
Abstract
Spontaneous intracranial hypotension (SIH) is a serious medical condition caused by loss of cerebrospinal fluid at the level of the spine, which, when not treated, may cause substantial long-term disability and increase morbidity. The following video summarizes the necessary steps for successful diagnosis and treatment of SIH, starting with a brain and spine magnetic resonance imaging, followed by dynamic myelography. Because an epidural bloodpatch did not provide a lasting relief, the patient underwent surgery which demonstrated a ventral dural slit caused by an osteodiscogenic microspur. In the 1-month follow up, the patient was symptom free. This video is meant to raise awareness of SIH among clinicians in order to increase general sensitivity for this diagnosis.
Date Issued
2025-12
Publication Type
Article
Subject(s)
Subjects
Brain intervention intracranial pressure spine
Language(s)
en
Author(s)
Journal
Interventional neuroradiology
Publisher
Sage Publications
ISSN
1591-0199
Access(Rights)
metadata.only