scholarly journals Rebound Intracranial Hypertension: A Complication of Epidural Blood Patching for Intracranial Hypotension

2014 ◽  
Vol 35 (6) ◽  
pp. 1237-1240 ◽  
Author(s):  
P. G. Kranz ◽  
T. J. Amrhein ◽  
L. Gray
Keyword(s):  
Intracranial Hypertension ◽  
Intracranial Hypotension ◽  
Epidural Blood Patching

scholarly journals Delayed Subdural Hematoma After Epidural Blood Patching in a Patient With Spontaneous Intracranial Hypotension

2010 ◽  
Vol 50 (6) ◽  
pp. 479-481 ◽  
Author(s):  
Hao-Kuang WANG ◽  
Po-Chou LILIANG ◽  
Cheng-Loong LIANG ◽  
Kang LU ◽  
Kuo-Chuan HUNG ◽  
...  
Keyword(s):  
Subdural Hematoma ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension ◽  
Epidural Blood Patching

Spontaneous Intracranial Hypotension Followed by Intracranial Hypertension

2020 ◽  
Vol 25 (4) ◽  
pp. 109-111
Author(s):  
Gonçalo Videira ◽  
Ângelo Carneiro ◽  
Hugo Mota Dória ◽  
Alexandre Mendes ◽  
Carlos Andrade
Keyword(s):  
Intracranial Hypertension ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension

scholarly journals Intracranial Hypertension and Intracranial Hypotension Causing Headache in the Same Patient

2014 ◽  
Vol 27 (3) ◽  
pp. 217-218 ◽  
Author(s):  
Ragesh Panikkath ◽  
John Welker ◽  
Robert Johnston ◽  
Joaquin Lado-Abeal
Keyword(s):  
Intracranial Hypertension ◽  
Intracranial Hypotension

scholarly journals Orthostatic Headaches Associated With Spontaneous Intracranial Hypotension and Autonomic Dysfunction—A Case Series in Young Patients

2021 ◽  
Vol 8 ◽  
pp. 2329048X2110567
Author(s):  
Ankita Ghosh ◽  
Yen X. Tran ◽  
Leon Grant ◽  
Mohammed T. Numan ◽  
Rajan Patel ◽  
...  
Keyword(s):  
Autonomic Dysfunction ◽  
Intracranial Hypotension ◽  
Orthostatic Intolerance ◽  
Spontaneous Intracranial Hypotension ◽  
Young Patients ◽  
Case Series ◽  
Tilt Table ◽  
Epidural Blood Patching ◽  
Persistent Symptoms ◽  
Head Up Tilt

Background: Orthostatic headaches can be noted in spontaneous intracranial hypotension and orthostatic intolerance. We present a case series of young patients diagnosed with spontaneous intracranial hypotension and were treated for the same but subsequently developed orthostatic intolerance. Methods: We retrospectively reviewed charts for seven young patients with orthostatic headaches related to spontaneous intracranial hypotension and orthostatic intolerance. Results: Patients were diagnosed with spontaneous intracranial hypotension. Diagnosis was confirmed by identifying epidural contrast leakage and three of seven patients were noted to have early renal contrast excretion on computerized tomography myelography. Patients were treated with epidural blood patches. All patients showed persistent symptoms of autonomic dysfunction after treatment of spontaneous intracranial hypotension and orthostatic intolerance was confirmed with head-up tilt table test. Conclusions: Patients with spontaneous intracranial hypotension failing to improve following epidural blood patching should be evaluated for orthostatic intolerance.

Behavioral Variant Frontotemporal Dementia as a Serious Complication of Spontaneous Intracranial Hypotension

2018 ◽  
Vol 15 (5) ◽  
pp. 505-515 ◽  
Author(s):  
Wouter I Schievink ◽  
M Marcel Maya ◽  
Zachary R Barnard ◽  
Franklin G Moser ◽  
Stacey Jean-Pierre ◽  
...  
Keyword(s):  
Frontotemporal Dementia ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension ◽  
Csf Leak ◽  
Behavioral Variant Frontotemporal Dementia ◽  
Clinical Criteria ◽  
Epidural Blood Patching ◽  
Early Onset Dementia ◽  
Percutaneous Procedures ◽  
Brain Sagging

Abstract BACKGROUND Behavioral variant frontotemporal dementia (bvFTD) is a devastating early onset dementia. Symptoms of bvFTD may be caused by spontaneous intracranial hypotension (SIH), a treatable disorder, but no comprehensive study of such patients has been reported. OBJECTIVE To describe detailed characteristics of a large cohort of patients with SIH and symptoms of bvFTD. METHODS We identified patients with SIH who met clinical criteria for bvFTD. Patients were compared to a cohort of SIH patients without bvFTD. RESULTS The mean age for the 21 men and 8 women was 52.9 yr (range, 37–65 yr). All 29 patients with bvFTD symptoms had hypersomnolence. Magnetic resonance imaging showed brain sagging in all patients, cerebrospinal fluid (CSF) opening pressure low in about half of patients, but a spinal CSF leak could not be detected in any patient. All patients underwent epidural blood patching, but 26 patients eventually underwent 1 or more surgical procedures. Overall, a good outcome was obtained in 21 patients (72%); 20 (91%) of 22 patients who had not undergone prior Chiari surgery compared to 1 (14%) of 7 patients who did undergo Chiari surgery (P < .003). Compared to SIH patients without symptoms of bvFTD (n = 547), those with bvFTD symptoms were older, more often male, less often demonstrated CSF leak on spinal imaging, and more often underwent surgery (P < .02). CONCLUSION bvFTD in SIH is rare and associated with brain sagging and hypersomnolence. Spinal CSF leaks are rarely detected. bvFTD symptoms are often refractory to the usual percutaneous procedures but most patients can be cured.

scholarly journals Cerebral Blood Flow in Low Intracranial Pressure Headaches—What Is Known?

2019 ◽  
Vol 10 (1) ◽  
pp. 2
Author(s):  
Magdalena Nowaczewska ◽  
Henryk Kaźmierczak
Keyword(s):  
Blood Flow ◽  
Cerebrospinal Fluid ◽  
Cerebral Blood Flow ◽  
Intracranial Pressure ◽  
Intracranial Hypertension ◽  
Intracranial Hypotension ◽  
Csf Pressure ◽  
Cerebral Vasodilatation ◽  
The Relationship ◽  
The Brain

Headaches attributed to low cerebrospinal fluid (CSF) pressure are described as orthostatic headaches caused by spontaneous or secondary low CSF pressure or CSF leakages. Regardless of the cause, CFS leaks may lead to intracranial hypotension (IH) and influence cerebral blood flow (CBF). When CSF volume decreases, a compensative increase in intracranial blood volume and cerebral vasodilatation occurs. Sinking of the brain and traction on pain-sensitive structures are thought to be the causes of orthostatic headaches. Although there are many studies concerning CBF during intracranial hypertension, little is known about CBF characteristics during low intracranial pressure. The aim of this review is to examine the relationship between CBF, CSF, and intracranial pressure in headaches assigned to low CSF pressure.

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