Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/32728
Title: Spontaneous Intracranial Hypotension and Spinal Epidural CSF Leaks: Diagnosis and Management.
Austin Authors: Rajpal, Simran;Nambiar, Mithun;Castanelli, Damian;Khabaza, Ali;Asadi, Hamed ;Jhamb, Ash;Mark Brooks, Duncan;Maingard, Julian
Affiliation: Department of Anaesthesia and Perioperative Medicine, Monash Health, Victoria, Australia.
Faculty of Medicine, Nursing and Health Sciences, Monash University, Australia.
Monash Imaging, Monash Health, Victoria, Australia
Department of Neuro-Interventional Radiology, St Vincent's Hospital, Fitzroy, Victoria, Australia;
Radiology
School of Medicine, Deakin University, Waurn Ponds, Geelong, Victoria, Australia.
Issue Date: May-2023
Date: 2023
Publication information: Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia 2023; 111:46-56
Abstract: Spontaneous intracranial hypotension from spinal cerebrospinal fluid leak is a condition that often presents as orthostatic headaches. Diagnosis and localisation of spinal CSF leaks remain difficult despite multiple imaging modalities that can be used to aid identification. These include traditional CT myelography and MRI as well as newer techniques such as dynamic and digital subtraction myelography. Leaks can be classified into types and optimal localisation and management techniques vary by type of leak. Localisation of a leak can aid in targeting treatment such as an epidural blood patch if conservative measures fail. Where unsuccessful, repeated blood patches and novel techniques can be used to improve patient symptoms. Much of this condition is not well understood and evidence is lacking, with many avenues for potential research.
URI: https://ahro.austin.org.au/austinjspui/handle/1/32728
DOI: 10.1016/j.jocn.2023.03.005
ORCID: 
Journal: Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Start page: 46
End page: 56
PubMed URL: 36948109
ISSN: 1532-2653
Type: Journal Article
Subjects: Blood Patch
Epidural
Intervention
Spinal
Intracranial Hypotension/diagnosis
Intracranial Hypotension/diagnostic imaging
Cerebrospinal Fluid Leak/diagnostic imaging
Cerebrospinal Fluid Leak/therapy
Myelography/methods
Tomography, X-Ray Computed/methods
Appears in Collections:Journal articles

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