October 2013

Introduction

Intracranial Hypotension: Diagnosis and Treatment

Jeffrey Ross

Jeffrey Ross

The Agony of Aliquorrhea

Intracranial hypotension can occur in a variety of clinical settings and can be grouped by primary or secondary etiologies. We are generally quite familiar with the secondary type of intracranial hypotension, related to prior cranial or spinal surgery, trauma, or prior lumbar puncture, as a cause of postural headache. The primary form (aka … more »

Spine

CT-Guided Epidural Blood Patching of Directly Observed or Potential Leak Sites for the Targeted Treatment of Spontaneous Intracranial Hypotension

Peter G. Kranz

Peter G. Kranz

Try to imagine how your life would be impacted if you were suddenly completely unable to sit up or stand at all without suffering a crushing, debilitating headache. This is the reality for many patients who suffer from spontaneous intracranial hypotension (SIH). SIH is a disease that has become much more widely recognized … more »

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When Should I Do Dynamic CT Myelography? Predicting Fast Spinal CSF Leaks in Patients with Spontaneous Intracranial Hypotension

Patrick H. Luetmer

Patrick H. Luetmer

My initial interest in spontaneous intracranial hypotension (SIH) and localization of CSF leaks began over 10 years ago. The early work of my colleagues Drs. Gary Miller, Bahram Mokri, and David Piepgras served to increase clinical awareness and MRI recognition of SIH. We began to accrue a cohort of patients who had chronic debilitating … more »