Spontaneous intracranial hypotension syndrome: contribution of radioisotope cisternography.

Abstract:

:Spontaneous intracranial hypotension is a clinical syndrome caused by a loss of cerebrospinal fluid volume, usually secondary to leaking through structural defects of the spinal dura mater. Radioisotope cisternography (RC) can confirm the diagnosis of spontaneous intracranial hypotension, especially in doubtful or atypical case presentations. A retrospective study was conducted on 8 patients who underwent RC because spontaneous intracranial hypotension was suspected, and they presented with atypical clinical manifestations and/or inconclusive findings in other imaging techniques. RC detected paradural extravasation of cerebrospinal fluid in 7 patients. Moreover, there was indirect evidence of cerebrospinal fluid leaks in all 8 patients (early appearance of radioactivity in the bladder, soft tissue uptake of radioisotope and/or reduction in the amount of radiotracer in the brain at 24hours). RC had a significant impact on the diagnosis of 6 patients, and on the therapeutic management of 4 patients.

authors

Suárez JP,Domínguez ML,Gómez MA,Muñoz JL

doi

10.1016/j.remn.2016.05.005

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

48-52

issue

1

eissn

2253-654X

issn

2253-8070

pii

S2253-654X(16)30032-4

journal_volume

36

pub_type

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