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

doi:10.1016/j.wneu.2017.01.123

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 journal › Review article › peer-review

62 Scopus citations

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 language	English (US)
Pages (from-to)	343-349
Number of pages	7
Journal	World neurosurgery
Volume	101
DOIs	https://doi.org/10.1016/j.wneu.2017.01.123
State	Published - May 1 2017

All Science Journal Classification (ASJC) codes

Surgery
Clinical Neurology

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title = "Spontaneous Intracranial Hypotension: A Review and Introduction of an Algorithm For Management",

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.",

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

note = "Publisher Copyright: {\textcopyright} 2017 Elsevier Inc.",

year = "2017",

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doi = "10.1016/j.wneu.2017.01.123",

language = "English (US)",

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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

N2 - 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.

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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JO - World neurosurgery

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ER -

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

Abstract

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