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  1. Spontaneous intracranial hypotension.: An article from: Southern Medical Journal by Megdad Zaatreh, Alan Finkel, 2002-11-01

41. Documents
Title intracranial hypotension. Authors Bakouche, P. Occurring after a recent neurosurgical procedure, the intracranial hypotension is termed secondary.
http://www.mypubmed.com/search/Search.cgi/Document?Database=PubMed&DocumentID=97

42. Qango : Health: Diseases And Conditions: I: Intracranial Hypotension
category Options Help. Home Health Diseases and Conditions I intracranial hypotension, Suggest a Site. Health, etc. If you would
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43. Ingenta: Article Summary -- Triamcinolone: First Report Of Intracranial Hypotens
Triamcinolone First report of intracranial hypotension case report Reactions 2004, vol. 1, no. 998, pp. 1717(1) Keywords CNS
http://www.ingenta.com/isis/searching/ExpandTOC/ingenta?issue=pubinfobike://adis

44. ScienceDaily -- Browse Topics: Health/Conditions_and_Diseases/Neurological_Disor
News about intracranial hypotension full story. More news about intracranial hypotension . Books about intracranial hypotension
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Real Estate Lookup Front Page Today's Digest Week in Review Email Updates ... Brain Diseases Intracranial Hypotension (1 links) News about Intracranial Hypotension Ritalin May Improve Parkinson's Symptoms, OHSU Study Says (May 7, 2004) full story Vanderbilt Study Shows Cold Drug Ingredient Could Cause Strokes (April 20, 2004) full story 'Bat Saliva' Drug And New MRI Techniques Offer Hope For Acute Stroke Treatment (February 9, 2004) full story New Treatment For People Who Experience Dizziness Upon Rising (September 24, 2003) full story Video Game Used For Study Of Human Navigation (September 11, 2003) full story [ More news about Intracranial Hypotension Books about Intracranial Hypotension [ More books about Intracranial Hypotension Links about Intracranial Hypotension

45. Karger Publishers
Vol. 51, No. 2, 2004 Article (PDF 376 KB) Short Reports. May intracranial hypotension Be a Cause of Venous Sinus Thrombosis? D. Sopelana
http://content.karger.com/ProdukteDB/produkte.asp?Doi=76791

46. Life-threatening Intracranial Hypotension After Diagnostic Lumbar
More MS news articles for April 2002. Lifethreatening intracranial hypotension after diagnostic lumbar puncture http//www.ncbi.nlm
http://www.mult-sclerosis.org/news/Apr2002/MedlineLifeThreateningIntracranialHyp
More MS news articles for April 2002 Life-threatening intracranial hypotension after diagnostic lumbar puncture Neurol Sci 2001 Oct;22(5):385-9
Francia A, Parisi P, Vitale A M, Esposito V.
Third Clinic of Neurology, Department of Neurological Sciences, La Sapienza University, Rome, Italy. Intracranial hypotension syndrome as a complication of diagnostic lumbar puncture is a rarely observed entity. Intracranial hypotension syndrome is characterized by postural headache, neck pain/stiffness, blurred vision, nausea, vomiting, clouding of consciousness, dizziness and vertigo. The majority of cases resolve spontaneously with conservative treatment. Rarely, epidural blood patch is required. We report a 41-year-old man with multiple sclerosis, who developed intracranial hypotension syndrome after diagnostic lumbar puncture and who did not respond to conservative treatment. A subdural hematoma was subsequently found, when the patient showed considerable worsening of clinical conditions with life-threatening symptoms. Surgical evacuation of the subdural hematoma was not sufficient to improve significantly the patient's conditions, while complete symptoms remission was achieved 12 hours after epidural blood patch.

47. Abstract ID A49
Abstract ID A49. Abstract Title HIGH VOLUME CERVICAL EPIDURAL BLOOD PATCH TO TREAT SPONTANEOUS intracranial hypotension – A CASE REPORT.
http://www.asra.com/Abstracts/Complete/Accepted/A49.final.html
Abstract ID: A49
Poster Type: Either
Category: Acute Post-operative Pain
ABSTRACT BODY
Case Report:
Discussion:
References:

5. Usui T. Saito S. Goto F. Spontaneous intracranial hypotension treated with a cervical epidural blood patch. European Journal of Anaesthesiology. 20(6):500-2, 2003 June
6. Fujimaki H. Saito N. Tosaka M. Tanaka Y. Horiguchi K. Sasaki T. Cerebrospinal fluid leak demonstrated by three-dimensional computed tomographic myelography in patients with spontaneous intracranial hypotension. Surgical Neurology. 58(3-4): 280-4; discussion 284-5, 2002
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49. ECR 2001 - Presentation C-0597
Spontaneous intracranial hypotension MR findings. In this work we also review recent scientific literature about spontaneous intracranial hypotension.
http://www.ecr.org/T/ECR01/sciprg/abs/pc0597.htm
C-0597 G. Zuccoli , M.L. Motti, G. Giaroli, A. Troiso, N. Marcello; Reggio Emilia/IT Spontaneous intracranial hypotension: MR findings
[ presentation ]
[ index ]

50. ECR 97 Presentation 11-004
Pérez M., Oleaga L., Ibarra V., Vicente I., Grande J., Grande D. intracranial hypotension secondary to lumbar puncture Magnetic resonance imaging findings.
http://www.ecr.org/T/ECR97/sciprg/abs/9711004p.htm
, Oleaga L., Ibarra V., Vicente I., Grande J., Grande D. Intracranial hypotension secondary to lumbar puncture: Magnetic resonance imaging findings Purpose: To demonstrate the MRI imaging findings in three cases of intracranial hypotension after lumbar puncture. Material and Methods: We studied three patients with an acute onset of severe postyerior cervico-occipital pain while standing, alleviated by lying flat. In all three cases a lumbar puncture was performed a few days before starting the headache. MR images were performed in a 1.0 Tesla unit (Siemens. Erlangen. Germany). Sagital SE T1Weighted, Axial TSE T2Weighted, Axial SE T1Weighted and Axial and Coronal SE T1Weighted images after gadolinium enhancement were acquired. Results: All three patients were HIV(+), in one of the cases the patient came to the emergency room with a seizure, other patient came with fever and behavioral changes and the third patient presentes with headache. In all three cases a lumbar puncture was performed. Aproximately three days after the procedure was performed, they experienced an acute, postural, occipital and cervical headache. The pain was exacerbated while standing and dissapeared while lying flat. The CSF examination did not show any abnormalities. MR images demonstrated a diffuse meningeal thickening and enhancement. In two cases we found bilateral subdural hematomas. The symptoms and MR imaging findings dissapeared after a period of bed rest.

51. Conditions And Diseases: Neurological Disorders: Brain Diseases: Intracranial Hy
Information on Conditions and Diseases, Neurological Disorders, Brain Diseases, intracranial hypotension and much more Treasure Coast Health.
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52. Mioti: Diseases + Conditions
Diseases + Conditions intracranial hypotension. Search Mioti
http://www.mioti.com/cat/condition/condition.asp?Cat=IntraHypotension

53. Abstract
intracranial hypotension (IH) is a rare cause of acute headache. intracranial hypotension (IH) is a rare cause of acute headache.
http://www.ia.pw.edu.pl/~wujek/neurol/str/3-01-e10.html
Intracranial hypotension (IH) is a rare cause of acute headache. There are secondary IH (more frequently, after lumbar puncture, head and back trauma, brain and spine surgery) and essential (spontaneous intracranial hypotension SIH). SIH was first described by Schaltenbrand in 1938. This syndrome is characterized mainly by acute postural headeache. The authors report a case of 45-year-old women with SIH. Clinical diagnosis was confirmed by lumbar puncture and characteristic MR. The symptoms completely regressed within 2 weeks. The treatment was based on bed rest, hypotonic solutions, steroids, caffeine. Pathophysiology, diagnosis and treatment of SIH are discussed. Intracranial hypotension (IH) is a rare cause of acute headache. There are secondary IH (more frequently, after lumbar puncture, head and back trauma, brain and spine surgery) and essential (spontaneous intracranial hypotension SIH). SIH was first described by Schaltenbrand in 1938. This syndrome is characterized mainly by acute postural headeache. The authors report a case of 45-year-old women with SIH. Clinical diagnosis was confirmed by lumbar puncture and characteristic MR. The symptoms completely regressed within 2 weeks. The treatment was based on bed rest, hypotonic solutions, steroids, caffeine. Pathophysiology, diagnosis and treatment of SIH are discussed.

54. Welcome To AJC!
Ency. home Disease C CSF leak. CSF leak. Overview Symptoms Treatment. Alternative names intracranial hypotension. Definition
http://www.ajc.com/health/healthfd/shared/health/adam/ency/article/001068.html
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ajc store Gifts Photos/pages Browser tip  Make ajc.com  your homepage: ajc guides Schools Visitors Illustrated Health Encyclopedia Important notice Ency. home Disease C CSF leak Overview Symptoms Treatment Alternative names: Intracranial hypotension Definition: Escape of fluid that normally surrounds the brain from between the cavities within the brain or from the central canal in the spinal cord. Causes and Risks A tear in the dura ( the membrane that surrounds the brain and spinal cord in which the CSF is found) may occur spontaneously, after spinal surgery, sinus or cranial surgery, penetrating head trauma or following a lumbar puncture (spinal tap). Ency. home

55. CSF Leaks
Colour doppler imaging for diagnosis of intracranial hypotension. Lancet 354(9181) 8269. Spontaneous intracranial hypotension.
http://www.dizziness-and-balance.com/disorders/central/csf-leak.html
CSF Leaks
Timothy C. Hain , MD Please read our Return to Index Search this site Page last modified: November 29, 2003 Cerebrospinal fluid depletion may be caused by a leak, a shunt, inadequate production or too rapid absorption. Symptoms commonly include headaches, which are more severe in the upright position and are alleviated by supine positioning. There may also be nausea and tinnitus. Horizontal diplopia, change in hearing tinnitus , blurring of vision, facial numbness and upper limb radicular symptoms (tingling) may occur. These symptoms are rather nonspecific as they are commonly encountered in migraine and post-traumatic headache. Cognitive decline has also been reported (Hong et al, 2002; Pleasure et al, 1998). As this is an otoneurology site, we will go into the hearing related symptoms in a bit more detail. While CSF leak is generally accompanied by an orthostatic (upright only) headache, this association is not universal and in fact, hearing loss may be more common than headache (Oncel et al, 1992). Orthostatic tinnitus is also possible.(Arai, Takada et al. 2003). The hearing loss of CSF leak likely results from lowering of CSF pressure, which lowers perilymphatic (inner ear) pressure, and results in a picture similar to

56. Arch Neurol -- Abstracts: Schievink 60 (12): 1713
Misdiagnosis of Spontaneous intracranial hypotension The misdiagnosis of spontaneous intracranial hypotension can have serious consequences.
http://archneur.ama-assn.org/cgi/content/abstract/60/12/1713
Select Journal or Resource JAMA Archives of Dermatology Facial Plastic Surgery Family Medicine (1992-2000) General Psychiatry Internal Medicine Neurology Ophthalmology Surgery Student JAMA For The Media Classified Ads Meetings Peer Review Congress
Vol. 60 No. 12, December 2003 Featured Link E-mail Alerts Original Contribution Article Options Full text PDF Send to a Friend Readers Reply Submit a reply Related articles in this issue Similar articles in this journal Literature Track Add to File Drawer Download to Citation Manager PubMed citation Articles in PubMed by Schievink WI ISI Web of Science (1) Contact me when this article is cited Topic Collections Diagnosis Headache Collection E-mail Alerts
Misdiagnosis of Spontaneous Intracranial Hypotension Wouter I. Schievink, MD
Arch Neurol. Spontaneous intracranial hypotension is an important cause of "new daily persistent headaches" but is not a well-recognized entity. The misdiagnosis of spontaneous intracranial hypotension can have serious consequences. The clinical course in 18 consecutive patients with spontaneous intracranial hypotension who were evaluated for definitive surgical treatment of the underlying spontaneous spinal cerebrospinal fluid leak from January 1, 2001, through

57. Slit Ventricle Syndrome
overdrainage of CSF, periventricular fibrosis, intermittent proximal shunt malfunction, decreased intracranial compliance, and intracranial hypotension.
http://www.ucch.org/sections/neurosurg/NeuroReview/11-Pediatrics/SlitVentricleSy
Slit Ventricle Syndrome Definition slit ventricle syndrome has been applied to a small subset of these shunt-dependent children who develop disabling chronic or recurring headaches associated with signs and symptoms of increased ICP and persistant small or slit-like ventricles by CT. Pathology Pathogenesis 1. One hypothesis is that chronic overdrainage in the upright position creates a suction-induced collapse of the ventricular wall around the ventricular catheter, causing recurrent elevations of ICP, and ultimately complete shunt obstruction. The CT scan shows increases in ventricular volume during the episodes of severe headache.
2. Failure of the ventricles to enlarge may be due to an increase in CSF outflow resistance and altered intracranial compliance secondary to brain stiffness from periventricular gliosis.
3. A partially obstructed ventricular catheter may limit the ability to increase CSF drainage rate in response to increases in intracranial volume, and thus precipitate the pressure wave; this would explain the observation that in some situations a shunt revision is curative even with a normal preoperative shunt study. Clinical Features headaches that are chronic intermittent , and recurring . Headaches exacerbated by activity and upright position may be suffering from chronic intracranial hypotension. Imaging Treatment and Results Medical steroids and acetazolamide may significantly relieve the headache.

58. Dictionary Definition Of INTRACRANIAL HYPOTENSION
Abstract. CAGY, MARCELO, BARDY, FERNANDA BAHADIAN, POMPEU FILHO, FERNANDO et al. Spontaneous intracranial hypotension case report. Arq. NeuroPsiquiatr., Dec.
http://www.dictionarybarn.com/INTRACRANIAL-HYPOTENSION.php
Dictionary definition of INTRACRANIAL HYPOTENSION
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Subnormal pressure of the cerebrospinal fluid. It is most commonly found after lumbar puncture and is associated with headache, nausea, vomiting, stiffness of the neck, and sometimes fever. It may also result from dehydration.
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59. Arquivos De Neuro-Psiquiatria -
Translate this page Spontaneous nerve root cerebrospinal fluid leaks and intracranial hypotension 9. Weitz SR, Drasner K. Spontaneous intracranial hypotension a series.
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2003000100028&l

60. A Case Of Spontaneous Intracranial Hypotension Typical Findings
A case of spontaneous intracranial hypotension typical findings of myelogram, CTM and MRI. ?A case of spontaneous intracranial hypotension is presented.
http://www.m.chiba-u.ac.jp/med-journal/76/76-4/764e2.html
A case of spontaneous intracranial hypotension: typical findings of myelogram, CTM and MRI
Hideo Douya, Osamu Saegusa, Masahito Saito, Tsuneji Kita, Wataru Koizumi, Teruhisa Kobayashi and Hideo Kobayashi Division of Orthopaedic Surgery, Narita Red Cross Hospital, Narita 286-0041 Kobayashi Orthopaedic Clinic, Sakura 285-0846
¡¡A case of spontaneous intracranial hypotension is presented. The patient was a 28 year-old female and was admitted to our hospital with orthostatic headache and back pain. Spinal puncture revealed low liquor pressure. Myelogram disclosed narrowed dural tube and emphasized outline of cauda equina and spinal cord. CTM showed an enhanced area in the posterior site of dural tube. Her complaints were gradually relieved without specific treatment. We also performed gadolinium enhanced MRI which revealed meningeal enhancement and dilatation of internal vertebral venous plexus. These typical radiological findings enabled us to diagnose this case as spontaneous intracranial hypotension.

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