Spontaneous Intracranial Hypotension: Imaging in Diagnosis and Treatment.

Journal Article (Journal Article;Review)

This article reviews the role of imaging in the diagnosis, management, and treatment of spontaneous intracranial hypotension (SIH). SIH is a debilitating and often misdiagnosed condition caused by either a spinal cerebrospinal fluid (CSF) leak or a CSF to venous fistula. This pathologic condition is identified and localized via spinal imaging, including computed tomographic (CT) myelography, dynamic myelography, dynamic (ultrafast) CT myelography, MR imaging, or MR myelography with intrathecal gadolinium. Treatment of SIH involves conservative measures, surgery, or imaging-guided epidural blood patching.

Full Text

Duke Authors

Cited Authors

  • Amrhein, TJ; Kranz, PG

Published Date

  • March 2019

Published In

Volume / Issue

  • 57 / 2

Start / End Page

  • 439 - 451

PubMed ID

  • 30709479

Electronic International Standard Serial Number (EISSN)

  • 1557-8275

Digital Object Identifier (DOI)

  • 10.1016/j.rcl.2018.10.004


  • eng

Conference Location

  • United States