Journal article
Use of confirmatory imaging studies to illustrate adequate treatment of cerebrospinal fluid leak in spontaneous intracranial hypotension
Journal of neurosurgery, Vol.113(5), pp.955-960
11/2010
DOI: 10.3171/2010.5.JNS091405
PMID: 20524824
Abstract
Spontaneous intracranial hypotension (SIH) is a syndrome with serious neurological sequelae. As demonstrated by the following report, recurrent episodes of SIH can be difficult to diagnose when associated with other neurosurgical procedures, such as craniectomies. In this paper, the authors demonstrate SIH presenting as a subdural hematoma with recurrence of CSF leaks. Spontaneous intracranial hypotension was further complicated by paradoxical herniation following a craniectomy. Treatment of SIH necessitated multiple epidural blood patches for CSF leaks at different spinal levels and at different times. The efficacy of each epidural blood patch was confirmed with radionuclide imaging. Confirmation of effective blood patch placement may be useful for identifying patients at risk for a failed epidural blood patch or for patients whose neurological examination results have not fully improved.
Details
- Title: Subtitle
- Use of confirmatory imaging studies to illustrate adequate treatment of cerebrospinal fluid leak in spontaneous intracranial hypotension
- Creators
- Timothy W Vogel - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA. tim.vogel@gmail.comBrian J DlouhyMatthew A Howard III
- Resource Type
- Journal article
- Publication Details
- Journal of neurosurgery, Vol.113(5), pp.955-960
- Publisher
- United States
- DOI
- 10.3171/2010.5.JNS091405
- PMID
- 20524824
- ISSN
- 0022-3085
- eISSN
- 1933-0693
- Language
- English
- Date published
- 11/2010
- Academic Unit
- Neurology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology
- Record Identifier
- 9984020504402771
Metrics
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