Spontaneous Intracranial Hypotension: A Review and Introduction of an Algorithm For Management

Benjamin Davidson, Farshad Nassiri, Alireza Mansouri, Jetan H. Badhiwala, Christopher D. Witiw, Mohammed F. Shamji, Philip W. Peng, Richard I. Farb, Mark Bernstein

Research output: Contribution to journalReview article

18 Citations (Scopus)

Abstract

Background Spontaneous intracranial hypotension (SIH) is a condition of low cerebrospinal fluid volume and pressure caused by a leak of cerebrospinal fluid through a dural defect. Diagnosis and management can be difficult, often requiring coordination between multiple disciplines for myelography, blood patching, and possible surgical repair. Patients should be monitored closely, because they can deteriorate into a coma or even death. There are no widely accepted guidelines for the management of SIH. Methods and Conclusions We review the existing SIH literature, illustrate management challenges via a case review, and propose an algorithm developed by neurosurgeons, radiologists, and anesthesiologists intended to simplify and streamline the management of SIH.

Original languageEnglish (US)
Pages (from-to)343-349
Number of pages7
JournalWorld neurosurgery
Volume101
DOIs
StatePublished - May 1 2017

Fingerprint

Intracranial Hypotension
Cerebrospinal Fluid Pressure
Myelography
Coma
Guidelines

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Davidson, B., Nassiri, F., Mansouri, A., Badhiwala, J. H., Witiw, C. D., Shamji, M. F., ... Bernstein, M. (2017). Spontaneous Intracranial Hypotension: A Review and Introduction of an Algorithm For Management. World neurosurgery, 101, 343-349. https://doi.org/10.1016/j.wneu.2017.01.123
Davidson, Benjamin ; Nassiri, Farshad ; Mansouri, Alireza ; Badhiwala, Jetan H. ; Witiw, Christopher D. ; Shamji, Mohammed F. ; Peng, Philip W. ; Farb, Richard I. ; Bernstein, Mark. / Spontaneous Intracranial Hypotension : A Review and Introduction of an Algorithm For Management. In: World neurosurgery. 2017 ; Vol. 101. pp. 343-349.
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Davidson, B, Nassiri, F, Mansouri, A, Badhiwala, JH, Witiw, CD, Shamji, MF, Peng, PW, Farb, RI & Bernstein, M 2017, 'Spontaneous Intracranial Hypotension: A Review and Introduction of an Algorithm For Management', World neurosurgery, vol. 101, pp. 343-349. https://doi.org/10.1016/j.wneu.2017.01.123

Spontaneous Intracranial Hypotension : A Review and Introduction of an Algorithm For Management. / Davidson, Benjamin; Nassiri, Farshad; Mansouri, Alireza; Badhiwala, Jetan H.; Witiw, Christopher D.; Shamji, Mohammed F.; Peng, Philip W.; Farb, Richard I.; Bernstein, Mark.

In: World neurosurgery, Vol. 101, 01.05.2017, p. 343-349.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Spontaneous Intracranial Hypotension

T2 - A Review and Introduction of an Algorithm For Management

AU - Davidson, Benjamin

AU - Nassiri, Farshad

AU - Mansouri, Alireza

AU - Badhiwala, Jetan H.

AU - Witiw, Christopher D.

AU - Shamji, Mohammed F.

AU - Peng, Philip W.

AU - Farb, Richard I.

AU - Bernstein, Mark

PY - 2017/5/1

Y1 - 2017/5/1

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AB - Background Spontaneous intracranial hypotension (SIH) is a condition of low cerebrospinal fluid volume and pressure caused by a leak of cerebrospinal fluid through a dural defect. Diagnosis and management can be difficult, often requiring coordination between multiple disciplines for myelography, blood patching, and possible surgical repair. Patients should be monitored closely, because they can deteriorate into a coma or even death. There are no widely accepted guidelines for the management of SIH. Methods and Conclusions We review the existing SIH literature, illustrate management challenges via a case review, and propose an algorithm developed by neurosurgeons, radiologists, and anesthesiologists intended to simplify and streamline the management of SIH.

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