WebIntracranial hypotension (IH) is a treatable cause of persistent headaches. Persistent cerebrospinal fluid (CSF) leak at a lumbar puncture (LP) site may cause IH. We present postcontrast MRI of a patient with post-lumbar-puncture headache (LPHA) showing abnormal, intense, diffuse, symmetric, contiguous dural-meningeal (pachymeningeal ... WebSpontaneous intracranial hypotension (SIH) syndrome is characterized by low CSF pressure and positional headache caused by leakage of spinal CSF. 1,2 MR imaging has revolutionized the identification, diagnosis, management, and understanding of SIH. The characteristic MR signs of SIH include diffuse pachymeningeal (dura mater) …
Intracranial hypotension Radiology Case Radiopaedia.org
WebAxial T2. There is extensive and diffuse thickening of the pachymeninges which have high T2 signal (not attenuating on FLAIR) and extensive enhancement. The venous sinuses appear a little prominent and the posterior fossa appears to sag somewhat (although the former is hard to appreciate on these single images). WebNormal-pressure hydrocephalus ( NPH ), also called malresorptive hydrocephalus, is a form of communicating hydrocephalus in which excess cerebrospinal fluid (CSF) occurs in the ventricles, and with normal or slightly elevated cerebrospinal fluid pressure. As the fluid builds up, it causes the ventricles to enlarge and the pressure inside the ... black and blue webcomic
Idiopathic Intracranial Hypertension - Cleveland Clinic
WebSpontaneous intracranial hypotension (SIH) is characterized by low CSF pressure and postural headaches. 1 Severe associated neurologic dysfunction including encephalopathy, though rare, has been reported. 2-5 We describe a case of a patient with SIH with progressive neurologic deterioration and documented brain stem “coning” on head MR ... WebCase Discussion. Reduced ventricular size with positive venous distension in keeping with intracranial hypotension, presumably secondary to CSF overshunting. This has occurred since the scans from 8 months earlier. This case is a good example of the "venous distension sign". With thanks to Dr Anthony Kam. WebMar 31, 2024 · The diagnosis is commonly based on the modified Dandy criteria, which has been updated for the Idiopathic Intracranial Hypertension Treatment Trial as follows 24: presence of signs and symptoms of increased intracranial pressure. absence of localizing findings on neurologic exam except those known to occur from increased intracranial … black and blue waterloo london