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Jessica Houk

Assistant Professor of Radiology
Radiology, Neuroradiology
Department of Radiology, Box 3808, Durham, NC 27710

Selected Publications


Percutaneous Treatment and Post-treatment Management of CSF Leaks and CSF-Venous Fistulas in Spontaneous Intracranial Hypotension.

Journal Article Radiol Clin North Am · March 2024 Spontaneous intracranial hypotension (SIH) is a treatable cause of orthostatic headaches secondary to pathologic loss of cerebrospinal fluid (CSF) from the subarachnoid space. SIH has several known pathologic causes including dural tears from disc osteophy ... Full text Link to item Cite

Validity of the Bern Score as a Surrogate Marker of Clinical Severity in Patients with Spontaneous Intracranial Hypotension.

Journal Article AJNR Am J Neuroradiol · September 2023 BACKGROUND AND PURPOSE: The Bern score is a quantitative scale characterizing brain MR imaging changes in spontaneous intracranial hypotension. Higher scores are associated with more abnormalities on brain MR imaging, raising the question of whether the sc ... Full text Link to item Cite

Differentiation of Chiari malformation type 1 and spontaneous intracranial hypotension using objective measurements of midbrain sagging.

Journal Article J Neurosurg · June 1, 2022 OBJECTIVE: Chiari malformation type 1 (CM-1) and spontaneous intracranial hypotension (SIH) are causes of headache in which cerebellar tonsillar ectopia (TE) may be present. An accurate method for differentiating these conditions on imaging is needed to av ... Full text Link to item Cite

Dual energy CT for the identification of CSF-Venous Fistulas and CSF leaks in spontaneous intracranial hypotension: Report of four cases.

Journal Article Radiol Case Rep · May 2022 Spontaneous intracranial hypotension (SIH) is a debilitating condition caused by spinal CSF leaks or CSF-venous fistulas (CVFs). Localizing the causative CSF leak or CVF is critical for definitive treatment but can be difficult using conventional myelograp ... Full text Link to item Cite

CSF-Venous Fistulas: Anatomy and Diagnostic Imaging.

Journal Article AJR Am J Roentgenol · December 2021 CSF-venous fistulas (CVFs), first described in 2014, are an important cause of spontaneous intracranial hypotension. CVFs can be challenging to detect on conventional anatomic imaging because, unlike other types of spinal CSF leak, they do not typically re ... Full text Link to item Cite

Spontaneous Intracranial Hypotension and Cerebral Spinal Fluid Leak Overview

Chapter · January 1, 2021 Spontaneous intracranial hypotension (SIH) is a condition that has become increasingly recognized, necessitating more widespread familiarity with diagnosis and management. This chapter reviews the clinical presentation, pathogenesis, approach to brain and ... Full text Cite

Early Oseltamivir After Hospital Admission Is Associated With Shortened Hospitalization: A 5-Year Analysis of Oseltamivir Timing and Clinical Outcomes.

Journal Article Clin Infect Dis · June 18, 2019 BACKGROUND: Neuraminidase inhibitors (NAIs) are the only effective therapy for influenza, but few studies have assessed the impact of early NAI therapy on clinical outcomes or the patient-level factors that determine early NAI delivery in hospitalized pati ... Full text Link to item Cite