Ces radiol. 2025, 79(1):7-14 | DOI: 10.55095/CesRadiol2025/001

Imaging modalities in the diagnosis of intracranial hypotension syndromeReview article

Tereza Habas, Miloš Keřkovský, Ľudmila Čaňková
Klinika radiologie a nukleární medicíny LF MU a FN Brno

Habas T, Keřkovský M, Čaňková Ľ. Imaging modalities in the diagnosis of intracranial hypotension syndrome Diagnosis of the site of cerebrospinal fluid leak as a cause of spontaneous intracranial hypotension (SIH) is generally complicated, especially in the case of liquor-venous fistulas. These venous fistulas, unlike other causes of SIH, do not cause fluid accumulation in the epidural space and thus cannot be diagnosed by standard techniques. The aim of this article is to review the radiological findings typical for the diagnosis of spontaneous intracranial hypotension and the role of various spinal imaging techniques in the detection of the site of liquor leak including dynamic CT myelography.

Keywords: intracranial hypotension syndrome, cerebrospinal liquor, venous fistulas, CT dynamic myelography.

Accepted: January 31, 2025; Published: April 22, 2025  Show citation

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Habas T, Keřkovský M, Čaňková Ľ. Imaging modalities in the diagnosis of intracranial hypotension syndrome. Ces radiol. 2025;79(1):7-14. doi: 10.55095/CesRadiol2025/001.
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    References

    1. . Mokri B. Spontaneous Intracranial Hypotension: Contin Lifelong Learn Neurol. 2015; 21: 1086-1108. Go to original source... Go to PubMed...
    2. . Schievink WI. Spontaneous Spinal Cerebrospinal Fluid Leaks and Intracranial Hypotension. JAMA 2006; 295(19): 2286. Go to original source... Go to PubMed...
    3. . Mokri B, Piepgras DG, Miller GM. Syndrome of Orthostatic Headaches and Diffuse Pachymeningeal Gadolinium Enhancement. Mayo Clin Proc. 1997; 72(5): 400-413. Go to original source... Go to PubMed...
    4. . Dobrocky T, Nicholson P, Häni L, Mordasini P, Krings T, Brinjikji W, et al. Spontaneous intracranial hypotension: searching for the CSF leak. Lancet Neurol. 2022; 21(4): 369-380. Go to original source... Go to PubMed...
    5. . Schievink WI, Maya MM. Cerebral Venous Thrombosis in Spontaneous Intracranial Hypotension. Headache J Head Face Pain. 2008; 48(10): 1511-1519. Go to original source... Go to PubMed...
    6. . Fishman RA, Dillon WP. Dural enhancement and cerebral displacement secondary to intracranial hypotension. Neurology 1993; 43(3 part 1): 609. Go to original source... Go to PubMed...
    7. . Mokri B. The Monro-Kellie hypothesis: Applications in CSF volume depletion. Neurology 2001; 56(12): 1746-1748. Go to original source... Go to PubMed...
    8. . Schievink WI, Tourje J. Intracranial hypotension without meningeal enhancement on magnetic resonance imaging: Case report. J Neurosurg. 2000; 92(3): 475-477. Go to original source... Go to PubMed...
    9. . Farb RI, Forghani R, Lee SK, Mikulis DJ, Agid R. The Venous Distension Sign: A Diagnostic Sign of Intracranial Hypotension at MR Imaging of the Brain. Am J Neuroradiol. 2007; 28(8): 1489-1493. Go to original source... Go to PubMed...
    10. . Lai TH, Fuh JL, Lirng JF, Tsai PH, Wang SJ. Subdural Haematoma in Patients With Spontaneous Intracranial Hypotension. Cephalalgia 2007; 27(2): 133-138. Go to original source... Go to PubMed...
    11. . Leung GKK, Ho J, Pu JKS. Pituitary enlargement in spontaneous intracranial hypotension - a diagnostic pitfall. Acta Neurochir. (Wien) 2011; 153(12): 2445-2446. Go to original source... Go to PubMed...
    12. . Rohr A, Jensen U, Riedel C, Van Baalen A, Fruehauf MC, Bartsch T, et al. MR Imaging of the Optic Nerve Sheath in Patients with Craniospinal Hypotension. Am J Neuroradiol. 2010; 31(9): 1752-1757. Go to original source... Go to PubMed...

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