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Spontaneous Intracranial Hypotension

Wouter I. Schievink

2021New England Journal of Medicine165 citationsDOI

Abstract

Spontaneous cerebrospinal fluid leakage causes orthostatic headache, and mental dullness, diplopia, and coma may occur. Most cases are due to a tear in the spinal CSF membranes. MRI shows enhancement of the dura, and special imaging, such as digital-subtraction myelography (shown in videos), may be required to show the leakage site.

Topics & Concepts

MedicineOrthostatic vital signsAnesthesiaCerebrospinal fluidMyelographyIntracranial HypotensionComa (optics)Leakage (economics)Cerebrospinal Fluid LeakageCardiologySpontaneous Intracranial HypotensionSedationSurgeryComplicationNeurosurgical Procedures and ComplicationsHead and Neck Surgical OncologyCerebrospinal fluid and hydrocephalus
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