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• Clinical Article •
The clinical and MR imaging characteristics of spontaneous intracranial hypotension
SHA Lin  LIN Yong-zhong  CAO Qian  BIAN Jie 

DOI:10.3969/j.issn.1674-8034.2014.03.004.


[Abstract] Objective: To investigate the clinical presentation and MRI characteristics of spontaneous intracranial hypotension (SIH) syndrome.Materials and Methods: Retrospective analysis of clinical presentation and MR imaging of 22 SIH patients, to summarize the characteristics of clinical presentation and MRI of (SIH).Results: Typical postural headache and the low CSF pressure (less than 60 mm H2O) ware found in the all patients. In the 22 patients, 10 cervical rigidity and 8 Hearing Disorders ware found. On MRI, all patients showed pachymeningeal diffuse enhancement, other findings included sagging brain (20), diminution of cerebral ventricles (10), enlargement of venous sinus (7).Conclusions: Postural headache and the low CSF pressure are the important clinical characteristics of SIH, diffuse enhancement of cerebral dura mater and sagging brain are the important MRI characteristics of SIH, enhanced MR was the important method in diagnosis of SIH.
[Keywords] Magnetic resonance imaging；Intracranial hypotension

SHA Lin* Department of Radiology, the Second Affiliated Hospital of Dalian Medical of University, Dalian 116027, China

LIN Yong-zhong Department of neurology, the Second Affiliated Hospital of Dalian Medical of University, Dalian 116027, China

CAO Qian Department of Radiology, the Second Affiliated Hospital of Dalian Medical of University, Dalian 116027, China

BIAN Jie Department of Radiology, the Second Affiliated Hospital of Dalian Medical of University, Dalian 116027, China

*Correspondence to: Sha L, E-mail: drshalin@163.com

Conflicts of interest   None.

Received  2013-12-21
Accepted  2014-01-23
DOI: 10.3969/j.issn.1674-8034.2014.03.004
DOI:10.3969/j.issn.1674-8034.2014.03.004.

[1]
Schaltbrand GN, Anschauungen Z. Pathophysiologie derliquozirkulation. Zentralbl Neurochir, 1938, 3(3): 290-300.
[2]
Mokri B. The Monro-kelie hypothesis: applications in CSF volume depletion. Neurology, 2001, 56(12): 1746-1748.
[3]
Yoo HM, Kim SJ, Choi CG, et al. Detection of CSF leak in spinal CSF leak syndrome Using MR myelography: correlation with radioisotope cistermography. AJNR Am J Neuroradiol, 2008, 29(4): 649-654.
[4]
Schievink WI. Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JMMA, 2006, 295(19): 2286-2296.
[5]
吕友梅,杨敬梅.原发性低颅压综合征的临床及影像学特点.皖南医学院学报, 2011, 30(3): 246-248.
[6]
张萍,潘邓记,朱遂强,等.自发性低颅压综合征与肥厚性硬脑膜炎的临床及影像对比分析.卒中与神经疾病杂志, 2013, 20(1): 20-22.
[7]
欧明辉.原发性低颅压综合征33例临床分析.中国实用神经疾病杂志, 2008, 11(9): 27-29.
[8]
袁小平,黄莉,朱叶青.低颅压综合征的临床特点与MRI诊断.中国实用医药, 2010, 5(31): 31-33.
[9]
Lin WC, Lirng JF, Fuh JL, et al. MR findings of spontaneous intracranial hypotension. Acta Radiol, 2002, 43(3): 249-255.
[10]
Liu WJ, Li R, Zheng N, et al. The application of MRI in the diagnosis of intracranial hypotension syndrome. Jining Med Univ, 2013, 36(3): 204-205.
[11]
汪恒望.原发性低颅压综合征的临床表现与MRI诊断.临床医药实践, 2012, 21(10), 733-737.
[12]
刘怀军,张岩,杨冀萍.脑缺血的CT、MRI表现及理解.磁共振成像, 2013, 4(1): 47-58.

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