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

61. Not A Brain Tumor: Serious Headaches Explained
Spanish researchers identified enlarged pituitary glands in the brains of 11 patients with headache symptoms characterized as intracranial hypotension syndrome
http://www.eurekalert.org/pub_releases/2000-12/AAoN-Nabt-2512100.php
Public release date: 25-Dec-2000
Contact: Cheryl Grogan
cgrogan@aan.com

American Academy of Neurology
Not a brain tumor: serious headaches explained
ST. PAUL, MN – Headaches that may at first seem to be caused by a brain tumor can actually stem from a leak of spinal cord fluid, according to a study in the December 25 issue of Neurology, the scientific journal of the American Academy of Neurology. Spanish researchers identified enlarged pituitary glands in the brains of 11 patients with headache symptoms characterized as intracranial hypotension syndrome. People suffering from this syndrome experience headaches that occur or worsen shortly after sitting up from a lying position. "This is a disorder that was recently believed to be rare. New imaging technology has told us quite the opposite," said Jerome Posner, MD, Memorial Sloan-Kettering Cancer Center neurologist and co-author of an editorial accompanying the study. "The incapacitating headaches experienced by sufferers of this disorder can now be explained and treated, and not confused for a brain tumor." Primarily diagnosed by a low spinal cord fluid pressure reading, the intracranial hypotension experienced by study participants had varied causes including spontaneous occurrence, unexplained fluid loss, lumbar puncture (spinal tap) and cervical spine surgery. Neck pain, nausea, hearing and vision problems and facial numbness accompanied the headaches.

62. Hypotension
22. hypotension symptom. 10. cause hypotension. 6. intracranial hypotension. 5. hypotension pregnancy. 5. hypotension treatment. 4. disability hypotension postural. 3.
http://www.websters-online-dictionary.org/definition/english/Hy/Hypotension.html
Philip M. Parker, INSEAD.
Hypotension
Definition: Hypotension
Hypotension
Noun
. Abnormally low blood pressure. Source: WordNet 1.7.1
Specialty Definitions: Hypotension
Domain Definitions
Health
Abnormally low blood pressure. ( references
Medicine
A condition in which there is a diminuition or loss of muscular tonicity, in consequence of which the muscles may be stretched beyond their normal limits. Source: European Union. references Source: compiled by the editor from various references ; see credits. Top Antonym : high blood pressure (n). ( additional references Top
Crosswords: Hypotension
English words defined with "hypotension" dopamine Dopastat Intropin orthostatic hypotension ... references Specialty definitions using "hypotension" Bethanechol Convulsions Crush Syndrome G Suits ... references Non-English Usage: Hypotension " is also a word in the following languages with English translations in parentheses. Danish (hypotension), German (hypotension). Top
Commercial Usage: Hypotension
Domain Title
References
Books
  • Clinical hypertension and hypotension reference
  • Controlled Hypotension in Neuroanaesthesia ( reference
  • Die kontrollierte Hypotension mit Nitroprussidnatrium in der Neuroanaesthesie ( reference
  • Induced Hypotension (Monographs in Anaesthesiology, Vol 20) (

63. Tidsskriftet - Artikkel
1. Diaz JH. Epidemiology and outcome of postural headache management in spontaneous intracranial hypotension. 5. Mokri B. Spontaneous intracranial hypotension.
http://www.tidsskriftet.no/pls/lts/pa_lt.visSeksjon?vp_SEKS_ID=1017234

64. Publications List
5. Evans RW, Mokri B. Spontaneous intracranial hypotension resulting in coma. Headache 2002 Feb; 42(2)15960. Mokri B. Spontaneous intracranial hypotension.
http://mayoresearch.mayo.edu/mayo/research/staff/publications-listed.cfm?personi

65. Chang Gung Memorial Hospital
Spontaneous intracranial hypotension in a Patient with Reversible Pachymeningeal Enhancement and Brain Descent. YuLung Tseng, MD
http://www.cgmh.org.tw/eng2002/mag_mj/mag_mj_26_0409.htm
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Chang Gung Medical Journal Vol.26 No.04 Spontaneous Intracranial Hypotension in a Patient with Reversible Pachymeningeal Enhancement and Brain Descent Yu-Lung Tseng, MD
Yung-Yee Chang, MD
Min-Yu Lan, MD
Hsiu-Shan Wu, MD
Jia-Shou Liu, MD, PhD Key words:
intracranial hypotension, orthostatic headache, cerebrospinal fluid, magnetic resonance imaging. CASE REPORT
DISCUSSION It is well known that headaches are one of the most common symptoms in patients with IH syndrome. The site of the headaches may be at the frontal, vertex, occipital regions, or the whole head. The characteristics are often varied, either throbbing or tension in nature, and are usually not relieved by analgesics alone.(5) Importantly, the head pain also varies in intensity, with associated clinical presentations such as dizziness, nausea, vomiting, and tinnitus.(8) Our patient presented with throbbing pain at the vertex in association with neck tightness, dizziness, nausea, and vomiting. In addition, her headaches were relieved quickly on recumbence. Therefore, a detailed search of causes underlying orthostatic headaches is warranted.

66. The World Arnold Chiari Malformation Association
242 Acquired Chiari I malformation secondary to spontaneous spinal cerebrospinal fluid leakage and chronic intracranial hypotension syndrome in seven cases.
http://www.pressenter.com/~wacma/acquired.htm
World Arnold Chiari Malformation Association
Acquired vs. Congenital 1. J Neurosurg 1995 Sep;83(3):556-558 Acquired Chiari I malformation and syringomyelia associated with bilateral chronic subdural hematoma.
Case report.Morioka T, Shono T, Nishio S, Yoshida K, Hasuo K, Fukui M
Department of Neurosurgery, Kyushu University, Fukuoka, Japan. The authors report a case of bilateral chronic subdural hematoma in a 25-year-old woman who had occipital and neck pain. Magnetic resonance imaging revealed progressive caudal descent of the cerebellar tonsils (acquired Chiari I malformation) and a large eccentric syrinx in the spinal cord from the C3-T7 levels. Spontaneous disappearance of the chronic subdural hematomas resulted in radiographic resolution of both lesions, as well as clinical improvement. Theories of syringomyelia formation, the relationship to acquired Chiari I malformation, and the implications of this case are discussed. 2. J Neurosurg 1998 Feb;88(2):237-242
Acquired Chiari I malformation secondary to spontaneous spinal cerebrospinal
fluid leakage and chronic intracranial hypotension syndrome in seven cases.

67. JW Neurology -- Sign In
Summary and Comment. Spontaneous intracranial hypotension. Source. O Carroll CP and BrantZawadski M. The syndrome of spontaneous intracranial hypotension.
http://neurology.jwatch.org/cgi/content/full/1999/1001/3

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68. Intracranial Pressure
With respirations 4 to 10 mm H2O. Decreased intracranial hypotension (uncommon) Trauma with secondary Cerebrospinal Fluid leak;
http://www.fpnotebook.com/NEU149.htm
Home About Links Index ... Editor's Choice document.write(code); Advertisement Neurology Laboratory CSF ... CSF PCR Intracranial pressure Increased Intracranial Pressure Causes CSF Protein Intracranial pressure CSF Pressure CSF Opening Pressure Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Neurology Index Autonomic Cerebellum Chorea Cranial Nerve Cognitive CSF Cardiovascular Medicine Demyelinating Dermatology Disability Examination Ophthalmology Geriatric Medicine Gynecology Headache Infectious Disease Laboratory General Level of Consciousness Motor Obstetrics Pediatrics Pharmacology Procedure Psychiatry Radiology Seizure Sensory Sports Medicine Surgery Tremor Page Laboratory Index CSF CSF Antigens CSF Blood CSF Color CSF Culture CSF Gamma Globulin CSF Glucose CSF Gram Stain CSF Leukocytes CSF PCR CSF Pressure CSF Pressure Increased CSF Protein
  • See Also Cerebrospinal Fluid Lumbar Puncture Background Not affected by systemic Blood Pressure Sensitive to blood pCO2 Hyperventilation lowers intracranial pressure Technique Counsel patient to try to relax Avoid Hyperventilation (lowers pressure) Avoid straining (raises pressure) Patient lies in lateral decubitus position Legs and neck should be in neutral position
  • 69. Marked Calvarial Thickening And Dural Changes Following Chronic Ventricular Shun
    It is hypothesized that intracranial hypotension resulting from chronic ventricular shunting lead to her thickened calvarium, a condition previously reported
    http://arpa.allenpress.com/arpaonline/?request=get-document&doi=10.1043/0003-998

    70. EJA - European Journal Of Anaesthesiology
    Back. Correspondence. Spontaneous intracranial hypotension treated with a cervical epidural blood patch. T. Usui 1 , S. Saito 2 , F. Goto 2.
    http://www.eja-online.org/abstract.asp?content=341&page=table

    71. Bombay Hospital Journal - Abstract
    2. SPONTANEOUS intracranial hypotension Rahul T Chakor, NE Bharucha The imaging findings were consistent of intracranial hypotension.
    http://www.bhj.org/journal/2002_4402_apr/abstract01.htm
    ABSTRACTS OF PAPERS AT THE 89TH RESEARCH MEETING OF THE MEDICAL RESEARCH CENTRE OF BOMBAY HOSPITAL ON MONDAY, 13TH AUGUST, 2001, 2.30 PM SP JAIN CAFETERIA (CONVENOR DR. HL DHAR) 1. THE MOLECULAR NEUROPATHOLOGY OF MUSCULAR DYSTROPHIES
    Rashna S Dastur, Daya K Manghani
    Muscular dystrophy covers a diverse group of inherited disorders in which the main clinical defects in the skeletal muscle i.e. weakness and wasting are mainly similar in all patients, but show genetically different diseases. This suggests that the various gene products participate or work together as a common functional structure or "biochemical cascade". In striated muscle cells, dystrophin - glycoprotein complex (DGC) serves as a link between the extracellular matrix and the subsarcolemmal cytoskeleton.
    The absence or dysfunction of one gene product (protein) in the DGC affects the functioning of the others causing the muscle cell to breakdown. Variability of clinical severity and the age of onset found in different types of dystrophies therefore depend on the functional importance of their gene products to the complex.
    Cohen’s technique for reimplantation was used in 40 patients (73 ureters), Leadbetter-Politano Technique in 31 patients (41 ureters), Lich-Gregoir Technique in 11 patients (15 ureters), and Paquin’s Technique in 9 patients (11 ureters). Ureteric tailoring was performed in 27 ureters while ureteric plication was done in 11 ureters. Ureteric stents were placed post-operatively in 94 ureters.

    72. Tetracyclines And Benign Intracranial Hypertension - A Headache Rare But Real
    Ramadan NM. Headache caused by raised intracranial pressure and intracranial hypotension. Curr Opin Neurol 1996; 9214218. Lee AG.
    http://www.medsafe.govt.nz/Profs/PUarticles/bih.htm
    Prescriber Update Articles
    Tetracyclines and Benign Intracranial Hypertension - a headache rare but real
    Web site: January 2001
    Prescriber Update No.21:33-36
    Helen Kingston, FRNZCGP, GP, Takaka Benign intracranial hypertension (BIH) is a rare but potentially serious condition. BIH has been documented in association with a variety of medicines, particularly the tetracyclines.
    A case has been reported to CARM of benign intracranial hypertension with minocycline, recurring on rechallenge.
    The common presenting feature of BIH is headache. The signs are papilloedema and sometimes sixth nerve palsy. Raised intracranial pressure confirms the diagnosis. If associated with a medicine, the condition may resolve totally on stopping it. Treatment includes therapeutic lumbar punctures and acetazolamide. Complications of BIH can be lasting visual defects or even blindness, so discontinue the medicine and refer promptly if suspected.
    Doctors should regularly enquire about headache when prescribing a tetracycline, even for a short period. The combination of a tetracycline and isotretinoin should be avoided.
    Case report: BIH recurred on rechallenge with minocycline
    BIH is associated with various medical conditions and medicines

    Benign intracranial hypertension presents with headache

    Papilloedema without lateralising signs is diagnostic
    ...
    References
    Case report: BIH recurred on rechallenge with minocycline BIH is associated with various medical conditions and medicines Benign intracranial hypertension (also known as pseudotumor cerebri, or idiopathic intracranial hypertension) is a rare condition of unknown cause with an annual incidence of 0.9/100,000 in the general population. It is likely that there is a genetic predisposition.

    73. Hypotension Intracrânienne : Sites Et Documents Francophones
    Translate this page Arborescence(s) du thesaurus MeSH contenant le mot-clé hypotension intracrânienne intracranial hypotension système nerveux, maladies.
    http://www.chu-rouen.fr/ssf/pathol/hypotensionintracranienne.html
    Hypotension intracrânienne Menu général CISMeF Ne pas confondre avec hypertension intracrânienne
    Arborescence(s) hypotension intracrânienne intracranial hypotension
    système nerveux, maladies
    Position du mot-clé dans l' (les) arborescence(s) : Vous pouvez consulter 09 janvier 2004
    courriel

    Menu général CISMeF
    Haut de page
    © CHU de Rouen . Toute utilisation partielle ou totale de ce document doit mentionner la source.

    74. 001068
    canal in the spinal cord. Alternative Names intracranial hypotension. Causes, incidence, and risk factors The dura is the membrane
    http://www.besthealth.com/Health Encyclopedia/articles/001068

    BestHealth - Health Information
    Health Encyclopedia Surgeries and Procedures Health Centers ... Prevention
    CSF leak
    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.
    Alternative Names: Intracranial hypotension
    Causes, incidence, and risk factors: 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.
    CSF leak can also be caused by a lumbar puncture (spinal tap) or by epidural placement of catheters for anesthesia or 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.
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    75. Neurology -- Abstracts: Miyazawa Et Al. 60 (6): 941
    Neurology 2003;60941947 © 2003 American Academy of Neurology CSF hypovolemia vs intracranial hypotension in spontaneous intracranial hypotension syndrome .
    http://www.neurology.org/cgi/content/abstract/60/6/941
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    Low pressure syndrome Neurology American Academy of Neurology
    CSF hypovolemia vs intracranial hypotension in "spontaneous intracranial hypotension syndrome"
    K. Miyazawa, MD Y. Shiga, MD PhD T. Hasegawa, MD PhD M. Endoh, MD PhD N. Okita, MD PhD S. Higano, MD PhD S. Takahashi, MD PhD and Y. Itoyama, MD PhD From the Departments of Neurology (Drs. Miyazawa, Shiga, Hasegawa, and Itoyama) and Radiology (Drs. Higano and Takahashi), Tohoku University School of Medicine; Department of Neurology (Dr. Endoh), Tohoku Kohseinenkin Hospital; and Department of Neurology (Dr. Okita), Kohnan Hospital, Japan. Address correspondence and reprint requests to Dr. Y. Shiga, Department of Neurology, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan; e-mail:

    76. Neurology -- Abstracts: Rando And Fishman 42 (3): 481
    Spontaneous intracranial hypotension report of two cases and review of the literature. We report two patients with spontaneous intracranial hypotension.
    http://www.neurology.org/cgi/content/abstract/42/3/481
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    ARTICLES
    Spontaneous intracranial hypotension: report of two cases and review of the literature
    TA Rando and RA Fishman
    Department of Neurology, University of California, School of Medicine, San Francisco 94143. We report two patients with spontaneous intracranial hypotension. In addition to the cardinal features of a postural headache and a low CSF pressure, the patients also had subdural fluid collections demonstrated by head MRI. In both patients, radionuclide cisternography revealed a CSF leak along the spinal axis and rapid accumulation of radioisotope in the bladder. CSF leakage from spinal meningeal defects may be the most common

    77. Anaesthsia Correspondence Web Site
    Step Three View or Send Correspondence. 190, Blind epidural blood patch for spontaneous intracranial hypotension, Link to abstract,
    http://www.anaesthesiacorrespondence.com/Correspond3.asp?articleid=3635&archive=

    78. Hypotension
    hypotension intracrânienne (en anglais intracranial hypotension), au cours duquel la chute de la pression à l intérieur du crâne est
    http://www.vulgaris-medical.net/texth/hypotens.html
    Hypotension
    Baisse de la pression artérielle systolique au-dessous de la normale, c'est-à-dire de 100 mm de mercure. Ce terme recouvre également la tension intérieure d'un organe en tant que pression, par exemple l'hypotension oculaire.

    Il existe plusieurs formes d'hypotension :
    • L'évolution de la maladie se fait quelques années plus tard vers des troubles articulaires et tendineux associés à des problèmes de marche, avec tremblements, rigidité dans les mouvements, ainsi que des troubles de la parole. La maladie de Shy et Drager, qui évolue vers la mort après une période très longue, est secondaire à une atteinte anatomique à type de dégénérescence (destruction progressive) des noyaux gris du cerveau (amas de substance grise noyés dans la substance blanche) mais également des noyaux gris situés dans la moelle épinière et à d'autres niveau de l'encéphale (système nerveux à l'intérieur du crâne). Ces noyaux gris portent le nom de locus niger, noyau dorsal du vague, locus caeruleus, putamen. Ces localisations nerveuses permettent, quand leur état est normal, d'assurer le bon fonctionnement automatique de certains organes (régulation de la tension artérielle, régulation de la sueur, adaptation de l'ouverture et de la fermeture des vaisseaux, etc…).
    • · L'hypotension contrôlée (en anglais induced hypotension) se caractérise par l'abaissement de la tension artérielle au cours de certaines interventions chirurgicales nécessitant une diminution de la pression du sang à l'intérieur des vaisseaux. C'est le cas, entre autres, des interventions portant sur les lésions de la face et de la mâchoire (chirurgie maxillo-faciale) ou des tumeurs vasculaires (touchant les vaisseaux) situées dans l'encéphale (à l'intérieur du crâne). L'hypotension contrôlée est mise en place pour éviter les hémorragies susceptibles d'avoir lieu au cours de l'intervention.

    79. JNS-TOC-May98
    20. Spinal dural enhancement on magnetic resonance imaging associated with spontaneous intracranial hypotension. Case report. N. Nicole
    http://www.neurosurgery.org/journals/online_j/mar98/JNS-TOC-May98.html
    Journal of Neurosurgery
    Draft of Table of Contents for
    May 1998, Volume 88, Number 5
    Clinical Articles:
    1. Proton MR spectroscopy for detecting axonal injury in the corpus callosum of brain injured patients. Kim M. Cecil, Everett C. Hills, M. Elizabeth Sandel, Douglas H. Smith, Tracy K. McIntosh, Lois J. Mannon, Grant P. Sinson, Linda J. Bagley, Robert I. Grossman, and Robert E. Lenkinski 2. Cerebral perfusion pressure in head-injured patients: a noninvasive assessment using transcranial Doppler ultrasonography. Marek Czosnyka, Basil F. Matta, Piotr Smielewski, Peter Kirkpatrick, and John D. Pickard 3. The persistent vegetative state after closed head injury: clinical and magnetic resonance imaging findings in 42 patients. Andreas Kampfl, Gerhard Franz, Franz Aichner, Bettina Pfausler, Hans-Peter Haring, Stefan Felber, Gabriele Luz, Michael Schocke, and Erich Schmutzhard 4. Endoscopic treatment of carpal tunnel syndrome: a critical review. David F. Jimenez, Scott R. Gibbs, and Adam T. Clapper 5. Catamenial mononeuropathy and radiculopathy: a treatable neuropathic disorder.

    80. Neuropsychological Tests
    906. Spontaneous intracranial hypotension causing reversible frontotemporal dementia. Spontaneous intracranial hypotension (SIH) causes
    http://www.accelerated-learning-online.com/research/CTG-Neuropsychological-Tests
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    Articles 901 to 910 of 1192 Depression and epilepsy: how closely related are they? Article abstract Depressive disorders (DDs) are the most common type of psychiatric co-morbidity in patients with epilepsy. They are more likely to occur in patients with partial seizure disorders of temporal and frontal lobe origin and are more frequent ...
    Andres M Kanner, Antoaneta Balabanov (Neurology, 200204)
    depression-epilepsy-closely-related-they.asp

    Memory encoding and retrieval in frontotemporal dementia and Alzheimers disease.
    Memory encoding and retrieval strategies were assessed in patients with behavior-executive variant frontotemporal dementia (FTD), language variant FTD, and Alzheimers disease (AD) using verbal and visuospatial supraspan learning tests. FTD patients ...
    Guila Glosser, Jennifer L Gallo, Christopher M Clark, Murray Grossman (Neuropsychology, 200204)
    memory-encoding-retrieval-frontotemporal-dementia-alzheimer-s-disease.asp

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