Spontaneous Intracerebral Hypotension - info NEEDED

BFrish bfrish at aol.com
Tue Jan 10 19:39:34 EST 1995


Spontaneous intracraniual hypotension is a recently recognized clinical
entity. While leakage from the spinal nerve root sleeves is the most
likely cause (when there is no history of trauma or recent spinal tap), in
many cases no leak is found.MRI is helpful in diagnosis as there is a
typical cranial picture with thickening of the meninges. However, the
diagnosis can only be definite after a lumbar puncture confirms a low
spinal fluid pressure (<90mm H2O). While postural headache is the hallmark
clinical symptom, some patients have double vision or other visual
disturbance. Radionuclide cisternography has been used sucessfully to
pinpoint the leakage in some cases. This is usually a self limited disease
which is disabling but fully reversible. You would be best served by
accessing the National library of Medicine (Greatful Med) for the most
recent articles. This can be accessed through Compuserve. Several recent
articles appear in the journal Neurology 1992 p609, 919, 1060, anf 2698. I
hope this is helpful.



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