Journal
RADIOLOGIC CLINICS OF NORTH AMERICA
Volume 57, Issue 2, Pages 439-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.rcl.2018.10.004
Keywords
Spontaneous intracranial hypotension; CSF Leak; CSF to venous fistula; Epidural blood patch; Myelogram
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This article reviews the role of imaging in the diagnosis, management, and treatment of spontaneous intracranial hypotension (SIH). SIH is a debilitating and often misdiagnosed condition caused by either a spinal cerebrospinal fluid (CSF) leak or a CSF to venous fistula. This pathologic condition is identified and localized via spinal imaging, including computed tomographic (CT) myelography, dynamic myelography, dynamic (ultrafast) CT myelography, MR imaging, or MR myelography with intrathecal gadolinium. Treatment of SIH involves conservative measures, surgery, or imaging-guided epidural blood patching.
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