ISSN: 1899-0967
Polish Journal of Radiology
Established by prof. Zygmunt Grudziński in 1926 Sun
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2018
vol. 83
 
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abstract:
Review paper

Diagnostic imaging and clinical features of intracranial hypotension – review of literature

Marta Michali-Stolarska, Joanna Bladowska, Mateusz Stolarski, Marek J. Sąsiadek

© Pol J Radiol 2018; 83: e11-e18
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Intracranial hypotension (IH) is an uncommon, benign, and usually self-limiting condition caused by low cerebrospinal fluid (CSF) pressure, usually due to CSF leakage. The dominant clinical finding is an orthostatic headache. Other common clinical features include fever, nausea, vomiting, and tinnitus.

Magnetic resonance imaging plays an important role in the diagnosis and follow-up of patients with IH. Specific MRI findings include intracranial pachymeningeal enhancement, sagging of the brain, pituitary enlargement, and subdural fluid collections.

Intracranial hypotension can mimic other conditions such as aseptic meningitis or pituitary adenomas. Differential diagnosis is important, because misdiagnosis may lead to unnecessary procedures and prolonged morbidity.
keywords:

cerebrospinal fluid pressure, headache, intracranial hypotension, magnetic resonance imaging, meningitis, aseptic, pituitary gland

 
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