The status of diagnosis and treatment to intracranial hypotension, including SIH

详细信息    查看全文

• 作者：Jin-ping Lin ; Shu-dong Zhang ; Fei-fang He ; Min-jun Liu…
• 关键词：Intracranial hypotension ; Imaging tests ; Epidural blood patching
• 刊名：The Journal of Headache and Pain
• 出版年：2017
• 出版时间：December 2017
• 年：2017
• 卷：18
• 期：1
• 全文大小：456KB
• 刊物类别：Medicine
• 刊物主题：Pain Medicine; Internal Medicine; Neurology;
• 出版者：Springer Milan
• ISSN：1129-2377
• 卷排序：18

文摘

Intracranial hypotension, especially spontaneous intracranial hypotension (SIH), is a well—recognized entity associated with cerebrospinal fluid (CSF) leaks, and has being recognized better in resent years, while still woefully inadequate. An increasing number of factors including iatrogenic factors are realized to involve in development and progression of intracranial hypotension. The diagnosis remains difficult due to the various clinical manifestations, some of which are nonspecific and easily to be neglected. Multiple imaging tests are optional in CSF leakage identification while clinicians are still confronted with difficulties when making selection resulting from superiorities and disadvantages of different imaging tests. Treatments for intracranial hypotension are multifarious but evidence is anecdotal. Values of autologous epidural blood patching (EBP), the mainstay of first-line interventional treatment currently, is getting more and more regards while there are no systematic review of its efficacy and risks. Hereby, the purpose of this review was to reveal the present strategy of intracranial hypotension diagnosis and treatment by reviewing literatures, coupled with our experience in clinical work.