Clinical characteristics of 30 patients with intracranial hypotension syndrome
Journal Title: Chinese Journal of Nervous and Mental Diseases - Year 2024, Vol 50, Issue 5
Abstract
[Objective] To analyze and summarize the clinical presentation of spontaneous and secondary intracranial hypotension syndrome(IHS). [Methods] Patients diagnosed with spontaneous or secondary IHS from September 2022 to May 2023 were retrospectively analyzed. The clinical data, imaging features, treatment methods and prognosis were collected. The correlation between intracranial pressure values and clinical characteristics of the patients was statistically analyzed. [Results] A total of 30 patients were enrolled, and the proportion of spontaneous and secondary IHS was 63% (19 cases) and 37% (11 cases), respectively. In terms of clinical features, orthostatic headache was the most common type (29 cases, 96.7%) and most commonly involved occipital region (12 cases, 40.0%), followed by frontoparietal region (9 cases, 30.0%). Among the brain imaging features, dural enhancement was the most common (17 cases, 56.7%). According to CT angiography of spinal cord findings, cerebrospinal fluid leakage is one of the most common location of cervical spine segments (10 cases), and on the thoracic segments (9 cases), followed by the thoracic segments (4 cases) and lumbar segments (4 cases). After conservative treatment and surgical treatment, the total effective rate was 90%. [Conclusion] Orthostatic headache and cranial MRI "dural enhancement" have strong indication on the definitive diagnosis of IHS. CT myelography is helpful to precisely localize the site of cerebrospinal fluid leakage. Targeted epidural blood patch therapy is an effective method to cure IHS when conservative treatment is ineffective.
Authors and Affiliations
Siqi WENG, Yanan CAI, Sichen HE, Guohui HUANG, Zihui DENG, Bin CHEN, Xiaojun LIU, Suyue PAN, Yabin. JI
Keywords
Related Articles
- EP ID EP750499
- DOI 10.3969/j.issn.1002-0152.2024.05.002
- Views 25
- Downloads 0
The effect evaluation of revision operation for cubital tunnel syndrome followed surgical treatment
[Objective] To explore the causes of postoperative revision for cubital tunnel syndrome(CTS),summarize the details of revision surgery for CTS and evaluate the efficacy,in order to reduce the revision probability of the...
One case of adult onset neuronal nuclear inclusion body disease
This article reports a case of adult neuronal intranuclear inclusion body disease with clinical manifestations of tremor, cognitive decline, and binocular visual impairment, which has not been clearly diagnosed and treat...
Research progress on the application of light therapy in patients with bipolar depression
Existing antidepressant treatments are generally suboptimal for patients with bipolar disorder (BD). Several studies have explored the efficacy of light therapy (LT) in patients with bipolar depression, along with invest...
Risk factors for suicidal ideation among relatives and friends of suicide victims on psychological support hotline
[Objective] To explore the risk factors for suicidal ideation among the relatives and friends of suicide victims through psychological support hotline. [Methods] Calls from the relatives and friends of suicide victims to...
Gender differences in the impact of modified electroconvulsive therapy on cognitive function in middle-aged and young patients with depression
ObjectivePreliminary exploration of the effects of modified electroconvulsive therapy (MECT) on cognitive function and gender differences in middle-aged and young patients with depressive episodes.MethodsA group of middl...