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Review Article| Volume 4, ISSUE 1, P231-241, September 2022

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Spontaneous Intracranial Hypotension

A Review of Pathogenesis, Presentation, Diagnosis, and Treatment

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      References

        • Schievink W.I.
        Misdiagnosis of spontaneous intracranial hypotension.
        Arch Neurol. 2003; 60: 1713-1718
        • Urbach H.
        • Fung C.
        • Dovi-Akue P.
        • et al.
        Spontaneous intracranial hypotension.
        Dtsch Arztebl Int. 2020; 117: 480-487
        • D'Antona L.
        • Jaime Merchan M.A.
        • Vassiliou A.
        • et al.
        Clinical presentation, investigation findings, and treatment outcomes of spontaneous intracranial hypotension syndrome: a systematic review and meta-analysis.
        JAMA Neurol. 2021; 78: 329-337
        • Schievink W.I.
        • Jacques L.
        Recurrent spontaneous spinal cerebrospinal fluid leak associated with "nude nerve root" syndrome: case report.
        Neurosurgery. 2003; 53 ([discussion: 1218-1219]): 1216-1218
        • Beck J.
        • Ulrich C.T.
        • Fung C.
        • et al.
        Diskogenic microspurs as a major cause of intractable spontaneous intracranial hypotension.
        Neurology. 2016; 87: 1220-1226
        • Amrhein T.J.
        • Befera N.T.
        • Gray L.
        • et al.
        CT Fluoroscopy-Guided Blood Patching of Ventral CSF Leaks by Direct Needle Placement in the Ventral Epidural Space Using a Transforaminal Approach.
        AJNR Am J Neuroradiol. 2016; 37: 1951-1956
        • Schievink W.I.
        • Moser F.G.
        • Maya M.M.
        CSF-venous fistula in spontaneous intracranial hypotension.
        Neurology. 2014; 83: 472-473
        • Kranz P.G.
        • Amrhein T.J.
        • Schievink W.I.
        • et al.
        The "Hyperdense Paraspinal Vein" Sign: a marker of CSF-Venous Fistula.
        AJNR Am J Neuroradiol. 2016; 37: 1379-1381
        • Kranz P.G.
        • Gray L.
        • Malinzak M.D.
        • et al.
        CSF-venous fistulas: anatomy and diagnostic imaging.
        AJR Am J Roentgenol. 2021; 217: 1418-1429
        • Borg N.
        • Cutsforth-Gregory J.
        • Oushy S.
        • et al.
        Anatomy of spinal venous drainage for the neurointerventionalist: from puncture site to intervertebral foramen.
        AJNR Am J Neuroradiol. 2022; 43: 517-552
        • Headache Classification Committee of the International Headache S
        The international classification of headache disorders, 3rd edition (beta version).
        Cephalalgia. 2013; 33: 629-808
        • Amrhein T.J.
        • Kranz P.G.
        Spontaneous intracranial hypotension: imaging in diagnosis and treatment.
        Radiol Clin North Am. 2019; 57: 439-451
        • Kranz P.G.
        • Tanpitukpongse T.P.
        • Choudhury K.R.
        • et al.
        How common is normal cerebrospinal fluid pressure in spontaneous intracranial hypotension?.
        Cephalalgia. 2016; 36: 1209-1217
        • Kranz P.G.
        • Tanpitukpongse T.P.
        • Choudhury K.R.
        • et al.
        Imaging signs in spontaneous intracranial hypotension: prevalence and relationship to CSF pressure.
        AJNR Am J Neuroradiol. 2016; 37: 1374-1378
        • Kranz P.G.
        • Gray L.
        • Amrhein T.J.
        Spontaneous intracranial hypotension: 10 Myths and misperceptions.
        Headache. 2018; 58: 948-959
        • Kranz P.G.
        • Gray L.
        • Malinzak M.D.
        • et al.
        Spontaneous intracranial hypotension: pathogenesis, diagnosis, and treatment.
        Neuroimaging Clin N Am. 2019; 29: 581-594
        • Farb R.I.
        • Forghani R.
        • Lee S.K.
        • et al.
        The venous distension sign: a diagnostic sign of intracranial hypotension at MR imaging of the brain.
        AJNR Am J Neuroradiol. 2007; 28: 1489-1493
        • Houk J.L.
        • Amrhein T.J.
        • Gray L.
        • et al.
        Differentiation of Chiari malformation type 1 and spontaneous intracranial hypotension using objective measurements of midbrain sagging.
        J Neurosurg. 2021; : 1-8
        • Yoshida H.
        • Takai K.
        • Taniguchi M.
        Leakage detection on CT myelography for targeted epidural blood patch in spontaneous cerebrospinal fluid leaks: calcified or ossified spinal lesions ventral to the thecal sac.
        J Neurosurg Spine. 2014; 21: 432-441
        • Hoxworth J.M.
        • Trentman T.L.
        • Kotsenas A.L.
        • et al.
        The role of digital subtraction myelography in the diagnosis and localization of spontaneous spinal CSF leaks.
        AJR Am J Roentgenol. 2012; 199: 649-653
        • Schievink W.I.
        • Moser F.G.
        • Maya M.M.
        • et al.
        Digital subtraction myelography for the identification of spontaneous spinal CSF-venous fistulas.
        J Neurosurg Spine. 2016; 24: 960-964
        • Thielen K.R.
        • Sillery J.C.
        • Morris J.M.
        • et al.
        Ultrafast dynamic computed tomography myelography for the precise identification of high-flow cerebrospinal fluid leaks caused by spiculated spinal osteophytes.
        J Neurosurg Spine. 2015; 22: 324-331
        • Dobrocky T.
        • Mosimann P.J.
        • Zibold F.
        • et al.
        Cryptogenic cerebrospinal fluid leaks in spontaneous intracranial hypotension: role of dynamic CT Myelography.
        Radiology. 2018; 289: 766-772
        • Chazen J.L.
        • Talbott J.F.
        • Lantos J.E.
        • et al.
        MR myelography for identification of spinal CSF leak in spontaneous intracranial hypotension.
        AJNR Am J Neuroradiol. 2014; 35: 2007-2012
        • Kong D.S.
        • Park K.
        • Nam D.H.
        • et al.
        Clinical features and long-term results of spontaneous intracranial hypotension.
        Neurosurgery. 2005; 57 ([discussion: 91-96]): 91-96
        • Ahn C.
        • Lee E.
        • Lee J.W.
        • et al.
        Two-site blind epidural blood patch versus targeted epidural blood patch in spontaneous intracranial hypotension.
        J Clin Neurosci. 2019; 62: 147-154
        • Berroir S.
        • Loisel B.
        • Ducros A.
        • et al.
        Early epidural blood patch in spontaneous intracranial hypotension.
        Neurology. 2004; 63: 1950-1951
        • Cho K.I.
        • Moon H.S.
        • Jeon H.J.
        • et al.
        Spontaneous intracranial hypotension: efficacy of radiologic targeting vs blind blood patch.
        Neurology. 2011; 76: 1139-1144
        • Chung S.J.
        • Lee J.H.
        • Im J.H.
        • et al.
        Short- and long-term outcomes of spontaneous CSF hypovolemia.
        Eur Neurol. 2005; 54: 63-67
        • Ferrante E.
        • Arpino I.
        • Citterio A.
        • et al.
        Epidural blood patch in Trendelenburg position pre-medicated with acetazolamide to treat spontaneous intracranial hypotension.
        Eur J Neurol. 2010; 17: 715-719
        • He F.F.
        • Li L.
        • Liu M.J.
        • et al.
        Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension in China.
        J Neurol Surg B Skull Base. 2018; 79: 217-223
        • Sencakova D.
        • Mokri B.
        • McClelland R.L.
        The efficacy of epidural blood patch in spontaneous CSF leaks.
        Neurology. 2001; 57: 1921-1923
        • Wu J.W.
        • Hseu S.S.
        • Fuh J.L.
        • et al.
        Factors predicting response to the first epidural blood patch in spontaneous intracranial hypotension.
        Brain. 2017; 140: 344-352
        • Pagani-Estevez G.L.
        • Cutsforth-Gregory J.K.
        • Morris J.M.
        • et al.
        Procedural predictors of epidural blood patch efficacy in spontaneous intracranial hypotension. Online ahead of print.
        Reg Anesth Pain Med. 2019;
        • Elwood J.J.
        • Dewan M.
        • Smith J.M.
        • et al.
        Efficacy of epidural blood patch with fibrin glue additive in refractory headache due to intracranial hypotension: preliminary report.
        Springerplus. 2016; 5: 317
        • Franzini A.
        • Messina G.
        • Chiapparini L.
        • et al.
        Treatment of spontaneous intracranial hypotension: evolution of the therapeutic and diagnostic modalities.
        Neurol Sci. 2013; 34: S151-S155
        • Hoang J.K.
        • Yoshizumi T.T.
        • Toncheva G.
        • et al.
        Radiation dose exposure for lumbar spine epidural steroid injections: a comparison of conventional fluoroscopy data and CT fluoroscopy techniques.
        AJR Am J Roentgenol. 2011; 197: 778-782
        • Paik N.C.
        Radiation Dose Reduction in CT Fluoroscopy-Guided Cervical Transforaminal Epidural Steroid Injection by Modifying Scout and Planning Steps.
        Cardiovasc Intervent Radiol. 2016; 39: 591-599
        • Wieschhoff G.G.
        • Miskin N.P.
        • Kim J.S.
        • et al.
        Radiation dose of fluoroscopy-guided versus ultralow-dose CT-fluoroscopy-guided lumbar spine epidural steroid injections.
        Skeletal Radiol. 2021;
        • Amrhein T.J.
        • Schauberger J.S.
        • Kranz P.G.
        • et al.
        Reducing Patient Radiation Exposure From CT Fluoroscopy-Guided Lumbar Spine Pain Injections by Targeting the Planning CT.
        AJR Am J Roentgenol. 2016; 206: 390-394
        • Beck J.
        • Raabe A.
        • Schievink W.I.
        • et al.
        Posterior Approach and Spinal Cord Release for 360 degrees Repair of Dural Defects in Spontaneous Intracranial Hypotension.
        Neurosurgery. 2019; 84: E345-E351
        • Kamenova M.
        • Schaeren S.
        • Wasner M.G.
        Intradural extraarachnoid sutureless technique combined with laminoplasty for indirect repair of ventral dural defects in spontaneous intracranial hypotension: technical note and case series.
        Acta Neurochir (Wien). 2021; 163: 2551-2556
        • Mamlouk M.D.
        • Shen P.Y.
        • Sedrak M.F.
        • et al.
        CT-guided Fibrin Glue Occlusion of Cerebrospinal Fluid-Venous Fistulas.
        Radiology. 2021; 299: 409-418
        • Wang T.Y.
        • Karikari I.O.
        • Amrhein T.J.
        • et al.
        Clinical Outcomes Following Surgical Ligation of Cerebrospinal Fluid-Venous Fistula in Patients With Spontaneous Intracranial Hypotension: A Prospective Case Series.
        Oper Neurosurg (Hagerstown). 2020; 18: 239-245
        • Shlobin N.A.
        • Shah V.N.
        • Chin C.T.
        • et al.
        Cerebrospinal fluid-venous fistulas: a systematic review and examination of individual patient data.
        Neurosurgery. 2021; 88: 931-941
        • Malinzak M.D.
        • Kranz P.G.
        • Gray L.
        • et al.
        Postsurgical recurrence of CSF-venous fistulas in spontaneous intracranial hypotension.
        Neurol Clin Pract. 2021; 11: e356-e358
        • Brinjikji W.
        • Savastano L.E.
        • Atkinson J.L.D.
        • et al.
        A novel endovascular therapy for CSF hypotension secondary to CSF-venous fistulas.
        AJNR Am J Neuroradiol. 2021; 42: 882-887