• World Neurosurg · May 2017

    Review Case Reports

    Spontaneous Intracranial Hypotension: A Review and Introduction of An Algorithm for Management.

    • Benjamin Davidson, Farshad Nassiri, Alireza Mansouri, Jetan H Badhiwala, Christopher D Witiw, Mohammed F Shamji, Philip W Peng, Richard I Farb, and Mark Bernstein.
    • Department of Surgery, Division of Neurosurgery, University of Toronto, Toronto, Ontario, Canada. Electronic address: benjaminandrewdavidson@gmail.com.
    • World Neurosurg. 2017 May 1; 101: 343-349.

    BackgroundSpontaneous intracranial hypotension (SIH) is a condition of low cerebrospinal fluid volume and pressure caused by a leak of cerebrospinal fluid through a dural defect. Diagnosis and management can be difficult, often requiring coordination between multiple disciplines for myelography, blood patching, and possible surgical repair. Patients should be monitored closely, because they can deteriorate into a coma or even death. There are no widely accepted guidelines for the management of SIH.Methods And ConclusionsWe review the existing SIH literature, illustrate management challenges via a case review, and propose an algorithm developed by neurosurgeons, radiologists, and anesthesiologists intended to simplify and streamline the management of SIH.Copyright © 2017 Elsevier Inc. All rights reserved.

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