Diagnosis and surgical therapy of spontaneous intracranial hypotension.
Tomas KlailChristopher M JesseRalph T SchärLevin HäniAndreas RaabeChristoph J SchankinEike I PiechowiakTomas DobrockyPublished in: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences (2023)
Spontaneous intracranial hypotension (SIH) is a serious medical condition caused by loss of cerebrospinal fluid at the level of the spine, which, when not treated, may cause substantial long-term disability and increase morbidity. The following video summarizes the necessary steps for successful diagnosis and treatment of SIH, starting with a brain and spine magnetic resonance imaging, followed by dynamic myelography. Because an epidural bloodpatch did not provide a lasting relief, the patient underwent surgery which demonstrated a ventral dural slit caused by an osteodiscogenic microspur. In the 1-month follow up, the patient was symptom free. This video is meant to raise awareness of SIH among clinicians in order to increase general sensitivity for this diagnosis.
Keyphrases
- magnetic resonance imaging
- cerebrospinal fluid
- spinal cord
- case report
- minimally invasive
- healthcare
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- palliative care
- optic nerve
- coronary artery bypass
- computed tomography
- white matter
- stem cells
- atrial fibrillation
- magnetic resonance
- resting state
- mesenchymal stem cells
- contrast enhanced
- optical coherence tomography
- cell therapy
- brain injury
- percutaneous coronary intervention
- patient reported