1. Baylor Neurology Case Of The Month Department of Neurology. Diagnosis 1. Spontaneous intracranial hypotension 2. Secondary ArnoldChiari Malformation Patient 28 is http://www.bcm.tmc.edu/neurol/challeng/pat28/summary.html

Patient #28 Summary and Discussion Jay Foreman, M.D., Ph.D. Resident, Department of Neurology Diagnosis: 1. Spontaneous intracranial hypotension 2. Secondary Arnold-Chiari Malformation The most worrisome and confusing aspects of this case, however, were the findings of CSF pleocytosis and diffuse meningeal enhancement on MRI ( see initial MRI ). In fact, the patient was referred to our service for a possible meningeal biopsy because of the unexplained nature of her problem and these MRI findings. The numerous possibilities of diffuse meningeal enhancement include inflammatory, infectious, and neoplastic processes. Meningeal enhancement is seen with meningeal carcinomatosis and lymphoma but the appearance is usually one of nodular enhancement, which may be focal or diffuse. Our patient had no evidence of blood cell dyscrasia on peripheral smear. Additionally this patient had no other symptoms or laboratory findings to suggest the presence of a malignancy. Neurosarcoidosis can give a similar appearance but it is usually associated with cranial neuropathy (53%), parenchymal disease (48%), aseptic meningitis (22%), peripheral neuropathy (17%), myopathy (15%) and/or hydrocephalus (7%). There is usually some evidence of systemic disease (97%) and elevation of serum angiotensin enzyme (ACE) levels. None of these were present in our patient. Lyme disease was considered. There is a triad of meningitis, radiculitis and neuritis without fever that is highly suggestive of this disease. Meningeal enhancement may or may not be seen, but is more often at nerve roots. Initially, patients have mild meningeal signs including headaches, myalgias, stiff neck and cranial nerve involvement. After several weeks patients may have cardiac conduction abnormalities, meningial signs, multiple cranial neuropathies, peripheral mononeuropathies and encephalopathy, as well as transitory erythematous blotchy rashes. The third stage typically involves development of a chronic arthritis. Our patient had none of these findings and her Lyme titers were negative.

2. Ae intracranial hypotension. Findings Smooth, uniformly thickened and enhancing dura. Differential Diagnosis intracranial hypotension, dural fibrosis, sarcoid, TB, mets http://www.med.uc.edu/neurorad/webpage/gba.html

Intracranial Hypotension Findings: Smooth, uniformly thickened and enhancing dura. Differential Diagnosis: intracranial hypotension, dural fibrosis, sarcoid, TB, mets Discussion: The dural findings seen with intracranial hypotension are due to congestive changes caused by chronically low intracranial pressure. The pressure differential may be maintained by an occult CSF leak, and many patients can give a history of previous lumbar puncture or trauma. Uniform thickening of the dura is a characteristic feature, and the lack of nodularity or a basilar distribution can help distinguish this process from metastatic disease or TB/sarcoid. The cerebellar tonsils may occasionally sink through the foramen magnum, leading to an acquired Chiari I malformation. BACK TO UNKNOWNS BACK TO CATEGORIES HOME NEXT CASE

3. AllRefer Health - CSF Leak (Intracranial Hypotension) CSF Leak (intracranial hypotension) information center covers causes, prevention, symptoms, diagnosis, treatment, incidence, risk factors, signs, tests, support groups, complications, and Alternate Names intracranial hypotension. Definition. Escape of fluid that normally surrounds the brain and spinal cord http://health.allrefer.com/health/csf-leak-info.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia You are here : AllRefer.com Health CSF Leak CSF Leak Definition Prevention Treatment Expectations or Prognosis ... Go To Main Page Alternate Names : Intracranial Hypotension Definition Escape of fluid that normally surrounds the brain and spinal cord from between the cavities within the brain or from the central canal in the spinal cord. CSF Leak The dura is the membrane that surrounds the brain and spinal cord and contains the cerebrospinal fluid (CSF). A tear in the dura may occur under the following circumstances: spontaneously after surgery: spinal sinus brain head after penetrating head trauma.

4. Intracranial Hypotension - Information / Diagnosis / Treatment / Prevention home neurological disorders brain diseases intracranial hypotension intracranial hypotension. Information • Diagnosis • Treatment • Prevention. http://www.healthcyclopedia.com/neurological-disorders/brain-diseases/intracrani

Home Health cyclopedia All Topics by Category The Good Health Search Engine Health Conditions A-Z Gurus ... brain diseases > intracranial hypotension Intracranial Hypotension Information / Diagnosis / Treatment / Prevention External links (marked with an arrow ) open in a new window. This site is a web directory and does not offer medical advice. We cannot take responsibility for information found on listed sites. This Page Medical Definition Health News Web Directory: Medical Definition: University of Newcastle-upon-Tyne Medical Dictionary: "intracranial hypotension" Health News: Search millions of published articles for news on Intracranial Hypotension Modern Medicine Aging The Ardell Wellness Report HealthFacts Medical Post Medical Update Men's Health and the National Women's Health Report Note: Subscription required to access the full text of articles. Web Directory: American Academy of Neurology An article entitled: Not a brain tumor: serious headaches explained. Notes: Healthcyclopedia presents health information in the form of websites and articles that encompass conventional medicine and alternative treatments Under no circumstances can it recommend or endorse a specific drug or therapy or treatment.

5. Patient 28 Selftest Patient 28 Spontaneous intracranial hypotension. 1. Which of the following are considered causes of orthostatic/postural headaches http://www.bcm.tmc.edu/neurol/challeng/pat28/selftest.html

Patient #28 Spontaneous Intracranial Hypotension 1. Which of the following are considered causes of orthostatic/postural headaches: A. spontaneous intracranial hypotension B. colloid cyst of the third ventricle C. post-lumbar puncture headache D. all of the above E. A and C 2. Typical findings suggestive of increased intracranial pressure include all of the following EXCEPT: A. early morning headaches B. papilledema C. nausea and vomiting D. scintillations E. worsening of headache on standing 3. Which of the following may cause diffuse meningeal enhancement on MRI? A. spontaneous intracranial hypotension B. CNS lymphoma C. neurosarcoidosis D. Lyme disease E. All of the above F. B, C, and D 4. All of the following are typically seen in patients with spontaneous intracranial hypotension EXCEPT: A. diffuse meningeal thickening and enhancement on MRI B. low CSF pressure C. papilledema D. mild CSF pleocytosis E. downward displacement of the cerebellar tonsils 5. All of the following are recognized causes of low CSF pressure headaches EXCEPT: A.

6. Intracranial Hypotension Medical Encyclopdia article about intracranial hypotension intracranial hypotension. A Medical Encyclopedia Article provided by the University of Maryland with information on over 4000 medical topics including intracranial hypotension http://www.umm.edu/medical-terms/02833.htm

Intracranial hypotension A Medical Encyclopedia Article provided by the University of Maryland Medical System A resource with information on over 4000 medical topics including: Intracranial hypotension Previous Next

7. Spontaneous Intracranial Hypotension Often Misdiagnosed Spontaneous intracranial hypotension Often Misdiagnosed CME. News Author Laurie Barclay, MD CME Author Désirée Lie, MD, MSEd Authors and Disclosures. http://www.medscape.com/viewarticle/466089

8. Spontaneous Intracranial Hypotension Spontaneous intracranial hypotension. from Southern Medical Journal Posted 03/06/2003. Introduction. Spontaneous or idiopathic intracranial hypotension is rare. http://www.medscape.com/viewarticle/448668

9. AllRefer Health - CSF Leak (Intracranial Hypotension) Information CSF Leak (intracranial hypotension) information center covers definition, alternative names, Overview, Causes, Risk Factors, Symptoms Signs, Diagnosis Tests, Treatment, Prognosis ( Alternate http://health.allrefer.com/health/csf-leak.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia You are here : AllRefer.com Health CSF Leak Alternate Names : Intracranial Hypotension Definition Escape of fluid that normally surrounds the brain and spinal cord from between the cavities within the brain or from the central canal in the spinal cord. CSF Leak Jump to a section Definition Prevention Treatment Expectations or Prognosis ... Calling Your Health Care Provider Topics that might be of interest to you CSF Collection MRI Other Topics Fever Pain Medications From Our Sponsors: A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s

10. Intracranial Hypotension - A Medical Reference Article Medical Encyclopdia article about intracranial hypotension intracranial hypotension. A Medical Article provided by University of Maryland Medical Center with information on over 10 000 medical topics including intracranial hypotension http://www.umm.edu/dwp/003845.htm

Intracranial hypotension A Medical Article provided by University of Maryland Medical Center A resource with information on over 10,000 medical topics including: Intracranial hypotension Previous Next

11. Spontaneous Intracranial Hypotension Spontaneous intracranial hypotension,. Print this article, (SIH) a syndrome with Spontaneous intracranial hypotension, Fig. 1. a, b. MR http://www.amershamhealth.com/medcyclopaedia/medical/Volume VI 1/SPONTANEOUS INT

Amershamhealth.com Search for: Type a word or a phrase. All forms of the word are searchable. Browse entry words starting with: A B C D ... Other characters Spontaneous intracranial hypotension, (SIH) a syndrome with reduced CSF pressure that occurs in the absence of dural puncture, surgery or trauma. The pathogenesis is usually considered to be an occult CSF leak through small defects in the meninges with a resultant decrease in CSF volume and pressure. The characteristic headache in SIH is similar to postlumbar puncture postural headache in that it is aggravated by sitting or standing and relieved by lying down. Other associated symptoms, seen less commonly, include stiff neck, nausea and vomiting, diplopia and cranial neuropathies, producing vertigo, tinnitus, photophobia and changes in hearing. CSF may be normal or reveal increased protein, xanthochromia or lymphocytic pleocytosis. By definition, the CSF pressure in SIH is low (less than 60 mm H O) and may be unobtainable via lumbar puncture, the so-called dry tap. Treatment options for intractable headache in SIH are similar to those for postdural puncture headache and include bed rest, analgesics, sedatives, oral caffeine, intravenous hydration, epidural blood patch and epidural saline infusion. The usual clinical course of SIH in most patients is spontaneous resolution over a period of weeks to months. The diagnostic intracranial imaging findings include diffuse, intense pachymeningeal enhancement on post contrast T1-weighted sequences (

12. ANNALS Sep2002: SPONTANEOUS INTRACRANIAL HYPOTENSION: A RARE CAUSE OF LABYRINTHI Title SPONTANEOUS intracranial hypotension A RARE CAUSE OF LABYRINTHINE HYDROPS. Authors FRÉDÉRIC PORTIER, MD, CARLOS DE MINTEGUIAGA, MD, EMMANUEL RACY, MD, PATRICE TRAN BA HUY, MD, PHILIPPE HERMAN, MD MD, PHILIPPE HERMAN, MD. Spontaneous intracranial hypotension should be considered as a possible http://www.annals.com/abs/annals1070.htm

Title: SPONTANEOUS INTRACRANIAL HYPOTENSION: A RARE CAUSE OF LABYRINTHINE HYDROPS Authors: FRÉDÉRIC PORTIER, MD, CARLOS DE MINTEGUIAGA, MD, EMMANUEL RACY, MD, PATRICE TRAN BA HUY, MD, PHILIPPE HERMAN, MD Keywords: cerebrospinal fluid, cochlear aqueduct, headache, hearing loss, hydrops, spontaneous intracranial hypotension

13. Hypotension, Intracranial, Spontaneous Hypotension, intracranial, spontaneous,. Print this article, see spontaneous intracranial hypotension. GS. The Encyclopaedia of Medical Imaging Volume VI1. http://www.amershamhealth.com/medcyclopaedia/medical/Volume VI 1/HYPOTENSION INT

Amershamhealth.com Search for: Type a word or a phrase. All forms of the word are searchable. Browse entry words starting with: A B C D ... Other characters Hypotension, intracranial, spontaneous, see spontaneous intracranial hypotension GS The Encyclopaedia of Medical Imaging Volume VI:1 Contacts GE Healthcare Making Waves

14. Spontaneous Intracranial Hypotension .papilledema, And Her Vision HighBeam Research, Free Preview 'Spontaneous intracranial hypotension.' Full Membership required for unlimited access. Comprehensive archive of newspapers, magazines, trade journals, TV and http://rdre1.inktomi.com/click?u=http://www.highbeam.com/library/doc0.asp?docid=

15. Neurological Disorders, Brain Diseases, Intracranial Hypotension More intracranial hypotension Categories » Submit Your Site to the intracranial hypotension category. Sponsored intracranial hypotension Sites. Brain Disease. http://www.iseekhealth.com/intracranial_hypotension-1950.php

Home About Us Contact Submit Your Site Search : Home Health Conditions and Diseases Neurological Disorders ... Intracranial Hypotension More Intracranial Hypotension Categories: Submit Your Site to the Intracranial Hypotension category Sponsored Intracranial Hypotension Sites Brain Disease. Is It Alzheimer's? Alzheimer's is a disease of the brain. It makes it hard for people to remember, think, and use language. It can also make it difficult to do daily tasks like using the phone and cooking. But early treatment may help. Learn how to spot early symptoms. Fully searchable traditional medicine and alternative medicine books, videos and products for doctors, students and the public. An affiliate of Amazon.com. PCBs May Cause Brain Damage and Memory Problems Because PCBs damage the thyroid gland, scientists believe PCBs may damage the brain and cause memory problems, along with altered thyroid hormone levels. American Academy of Neurology - An article entitled: Not a brain tumor: serious headaches explained. Spontaneous Intracranial Hypotension - A discussion about this disorder, its features, causes, diagnosis and treatment.

16. Neurological Disorders, Brain Diseases, Intracranial Hypotension Category Home Health Conditions and Diseases Neurological Disorders Brain Diseases intracranial hypotension. * Site Title · The name of the site. http://www.iseekhealth.com/directory/index.php?method=show_link_exchange&directo

17. AllRefer Health - CSF Leak Prevention (Intracranial Hypotension) Alternate Names intracranial hypotension. See all Pictures Images CSF Leak Prevention. Measures such as wearing a helmet when http://health.allrefer.com/health/csf-leak-prevention.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia You are here : AllRefer.com Health CSF Leak : Prevention of CSF Leak CSF Leak Definition Prevention Treatment Expectations or Prognosis Complications Calling Your Health Care Provider ... Go To Main Page Alternate Names : Intracranial Hypotension CSF Leak Prevention Measures such as wearing a helmet when riding a bicycle or motorcycle can help prevent head injuries that can lead to CSF leak. Previous Top Next Jump to another section Definition CSF Leak Prevention CSF Leak Treatment CSF Leak Prognosis CSF Leak Complications Calling Your Health Care Provider Topics that might be of interest to you CSF Collection MRI Other Topics Fever Pain Medications Review Date : 7/28/2002 Reviewed By : Elaine T. Kiriakopoulos, M.D., MSc, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard University, Boston, MA. Review provided by VeriMed Healthcare Network.

18. Disease Directory : Neurological Disorders : Brain Diseases : Intracranial Hypot ?spontaneous intracranial hypotension) ?spontaneous intracranial hypotension). ?spontaneous intracranial hypotension). ? http://www.diseasedirectory.net/Neurological_Disorders/Brain_Diseases/Intracrani

Wednesday, June 02, 2004 Neurological Disorders Brain Diseases Akinetic Mutism Bardet-Biedl Syndrome ... Brain Diseases : Intracranial Hypotension ? ? (spontaneous intracranial hypotension) - ? ? (spontaneous intracranial hypotension). ? ? (spontaneous intracranial hypotension). ? ?. ? ? (spontaneous intracranial hypotension) - ? ? (spontaneous intracranial hypotension). ? ?. ? ? ? AllRefer Health - CSF Leak Prevention (Intracranial Hypotension) American Academy of Neurology - An article entitled: Not a brain tumor: serious headaches explained. - Spontaneous intracranial hypotension: case report. ABSTRACT - Spontaneous intracranial hypotension is a rare syndrome associated - Report Spontaneous Intracranial Hypotension Bahram Mokri MD Department of Neurology, 200 First Street SW, Mayo Clinic, Rochester, MN, 55905, USA Current - Although all research articles in Current Neurology and Neuroscience Reports are available free, most other articles require a subscription. CJNS - Spontaneous Intracranial Hypotension in the Absence of ...

19. Intracranial Hypotension From Linkspider UK Health Directory intracranial hypotension by Linkspider UK, intracranial hypotension links and intracranial hypotension topics from our Health directory. http://linkspider.co.uk/Health/ConditionsandDiseases/NeurologicalDisorders/Brain

Match » -All words -Any word -Exact text Search » The Web Jobs / Vacancy Images / Photos FTP / Downloads United Kingdom United States of America Argentina Austria Australia Bangladesh Belgium Bolivia Brazil Bulgaria Canada Chile China Cuba Cyprus Czech Republic Czechoslovakia Denmark Dominican Republic Ecuador Egypt Estonia Finland France Germany Ghana Greece Hong Kong Hungary Iceland India Indonesia Ireland Israel Italy Japan Jordan Kenya Kuwait Latvia Lithuania Luxembourg Malaysia Malta Mexico Moldavia Monaco Morocco Mozambique Nepal Netherlands New Zealand Nicaragua Nigeria North Korea Norway Pakistan Panama Paraguay Peru Philippines Poland Portugal Qatar Romania Russian Federation Saudi Arabia Singapore South Africa South Korea Spain Sri Lanka Sweden Switzerland Taiwan Tanzania Thailand Tunisia Turkey Ukraine United Arab Emirates Uruguay Venezuela Yemen Yugoslavia Zambia Zimbabwe Ranking » On (no duplicate) Off (allow duplicate) Add my Site Toolbar Affiliates Directory Topic Intracranial Hypotension assoicated to Health Directory Tree: Top Health Conditions and Diseases Neurological Disorders ... Brain Diseases : Intracranial Hypotension ( American Academy of Neurology - An article entitled: Not a brain tumor: serious headaches explained.

20. Spontaneous Intracranial Hypotension Spontaneous intracranial hypotension was diagnosed. Symptoms gradually abated over the following 68 weeks. Khurana RK. intracranial hypotension. http://home.earthlink.net/~radiologist/tf/022502.htm

O. The fluid was viscous and markedly xanthochromic, protein was 200 mg/cc. There was no bacterial, fungal or TB growth. A nuclear cisternogram failed to demonstrate a site of CSF leakage. Spontaneous intracranial hypotension was diagnosed. Symptoms gradually abated over the following 6-8 weeks. Khurana RK. Intracranial hypotension. Semin Neurol 1996 Mar;16(1):5-10 PMID:8879051 Mokri B. Spontaneous intracranial hypotension. Curr Pain Headache Rep 2001 Jun;5(3):284-91 PMID:11309218 Ly JN, DeSilva SJ, Brazier D. Spontaneous intracranial hypotension. Australas Radiol 1999 Nov;43(4):548-50 PMID:10901980 Tsui EY, Ng SH, Cheung YK, Fong D, Yuen MK. Spontaneous intracranial hypotension with diffuse dural enhancement of the spinal canal and transient enlargement of the pituitary gland. Eur J Radiol 2001 Apr;38(1):59-63 PMID:11287167 Huang C, Chuang Y, Lee C, Lee R, Lin T. Spontaneous spinal cerebrospinal fluid leak and intracranial hypotension. Clin Imaging 2000 Sep-Oct;24(5):270-2 PMID:11331153 Inenaga C, Tanaka T, Sakai N, Nishizawa S. Diagnostic and surgical strategies for intractable spontaneous intracranial hypotension. Case report. J Neurosurg 2001 Apr;94(4):642-5 PMID:11302668

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