Journal
NEUROIMAGING CLINICS OF NORTH AMERICA
Volume 29, Issue 4, Pages 581-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.nic.2019.07.006
Keywords
Spontaneous intracranial hypotension; CSF leak; Myelography; CSF-venous fistula; Epidural blood patch
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Spontaneous intracranial hypotension (SIH) is a clinical syndrome that is increasingly recognized as an important and treatable secondary cause of headaches. Insight into the condition has evolved significantly over the past decade, resulting in a greater understanding of the underlying pathophysiology, development of new diagnostic imaging tools, and a broadening array of targeted treatment options. This article reviews the clinical presentation and pathogenesis of SIH, discusses the important role of imaging in diagnosis, and describes how imaging guides treatment.
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