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

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...

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Autores principales: Lin, Jin-ping, Zhang, Shu-dong, He, Fei-fang, Liu, Min-jun, Ma, Xiao-xu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Milan 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5236046/
https://www.ncbi.nlm.nih.gov/pubmed/28091819
http://dx.doi.org/10.1186/s10194-016-0708-8
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author Lin, Jin-ping
Zhang, Shu-dong
He, Fei-fang
Liu, Min-jun
Ma, Xiao-xu
author_facet Lin, Jin-ping
Zhang, Shu-dong
He, Fei-fang
Liu, Min-jun
Ma, Xiao-xu
author_sort Lin, Jin-ping
collection PubMed
description 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.
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spelling pubmed-52360462017-01-25 The status of diagnosis and treatment to intracranial hypotension, including SIH Lin, Jin-ping Zhang, Shu-dong He, Fei-fang Liu, Min-jun Ma, Xiao-xu J Headache Pain Review Article 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. Springer Milan 2017-01-13 /pmc/articles/PMC5236046/ /pubmed/28091819 http://dx.doi.org/10.1186/s10194-016-0708-8 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review Article
Lin, Jin-ping
Zhang, Shu-dong
He, Fei-fang
Liu, Min-jun
Ma, Xiao-xu
The status of diagnosis and treatment to intracranial hypotension, including SIH
title The status of diagnosis and treatment to intracranial hypotension, including SIH
title_full The status of diagnosis and treatment to intracranial hypotension, including SIH
title_fullStr The status of diagnosis and treatment to intracranial hypotension, including SIH
title_full_unstemmed The status of diagnosis and treatment to intracranial hypotension, including SIH
title_short The status of diagnosis and treatment to intracranial hypotension, including SIH
title_sort status of diagnosis and treatment to intracranial hypotension, including sih
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5236046/
https://www.ncbi.nlm.nih.gov/pubmed/28091819
http://dx.doi.org/10.1186/s10194-016-0708-8
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