Diagnostic challenges and therapeutic possibilities in spontaneous intracranial hypotension

Clinical and Translational Neuroscience

Article

Niklaus Meier¹  Christian Thomas Ulrich²  Christopher Marvin Jesse²  Andreas Raabe²  Levin Häni²  Werner Z’Graggen³  Christian Fung⁴  Jürgen Beck⁴  Eike Piechowiak⁵ 

[1] Department of Neurology, University Hospital of Bern, Bern, Switzerland;Department of Neurosurgery, University Hospital of Bern, Bern, Switzerland;Department of Neurosurgery, University Hospital of Bern, Bern, Switzerland;Department of Neurology, University Hospital of Bern, Bern, Switzerland;Department of Neurosurgery, University Hospital of Bern, Bern, Switzerland;Department of Neurosurgery, Medical Center—University of Freiburg, Freiburg, Germany;University Institute of Diagnostic and Interventional Neuroradiology, University Hospital of Bern, Bern, Switzerland;

关键词: Spontaneous intracranial hypotension;    spinal cerebrospinal fluid leak;    headache;    meningeal diverticula;   

DOI  :  10.1177/2514183X18787371

来源: Sage Journals

【 摘 要 】

Spontaneous intracranial hypotension (SIH) has gained more attention in the eyes of clinicians in the past years and is now recognized as an important cause of headaches. While usually self-limiting and benign, some patients suffer from debilitating symptoms that interfere significantly with their social and professional life. Thus, recognition and adequate treatment of SIH is of paramount importance. Recent refinements in imaging techniques combined with modern microneurosurgical techniques offer many diagnostic and therapeutic possibilities today. The aim of this review is to give the reader an updated review on the state-of-the art in the challenging diagnosis and treatment of SIH as well as an insight into recent developments of pathophysiological concepts and affiliations with other enigmatic diseases.

【 授权许可】

CC BY-NC   
© The Author(s) 2018

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