Diagnosis and surgical therapy of spontaneous intracranial hypotension.

Klail, Tomas; Jesse, Christopher M; Schär, Ralph T; Häni, Levin; Raabe, Andreas; Schankin, Christoph J; Piechowiak, Eike I; Dobrocky, Tomas (2023). Diagnosis and surgical therapy of spontaneous intracranial hypotension. (In Press). Interventional neuroradiology, 15910199231215115, p. 15910199231215115. Sage Publications 10.1177/15910199231215115

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery

UniBE Contributor:

Klail, Tomas, Jesse, Christopher Marvin, Schär, Ralph Thomas, Häni, Levin, Raabe, Andreas, Schankin, Christoph Josef, Piechowiak, Eike Immo, Dobrocky, Tomas

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1591-0199

Publisher:

Sage Publications

Language:

English

Submitter:

Pubmed Import

Date Deposited:

23 Nov 2023 12:29

Last Modified:

24 Nov 2023 00:17

Publisher DOI:

10.1177/15910199231215115

PubMed ID:

37993413

Uncontrolled Keywords:

Brain intervention intracranial pressure spine

URI:

https://boris.unibe.ch/id/eprint/189300

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