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Treatment of alterations in CSF dynamics

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Abstract

Alterations of the intracranial pressure (ICP) may be present in several conditions. The aim of this brief review is to focus on two relatively rare conditions characterized by alterations in cerebro-spinal fluid dynamics—Spontaneous Intracranial hypotension (SIH) and Idiopathic Intracranial hypertension (IIH)—in which headache is one of the key symptoms. The most relevant clinical features, the expected MRI findings, and the therapeutic options regarding both conditions are discussed.

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References

  1. Steiner LA, Andrews PJ (2006) Monitoring the injured brain: ICP and CBF. Br J Anaesth 97(1):26–38

    Article  PubMed  CAS  Google Scholar 

  2. Rangel-Castilla L, Gopinath S, Robertson CS (2008) Management of intracranial hypertension. Neurol Clin 26(2):521–541

    Article  PubMed  Google Scholar 

  3. Mokri B (2001) The Monro-Kellie hypothesis: applications in CSF volume depletion. Neurology 56(12):1746–1748

    PubMed  CAS  Google Scholar 

  4. Schievink WI (2008) Spontaneous spinal cerebrospinal fluid leaks. Cephalalgia 28(12):1357–1360

    Article  Google Scholar 

  5. Headache Classification Subcommittee of the International Headache Society (2004) International classification of headache disorders, 2nd edition. Cephalalgia 24

  6. Schievink WI (2006) Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA 295(19):2286–2296

    Article  PubMed  CAS  Google Scholar 

  7. Mea E, Chiapparini L, Savoiardo M, Franzini A, Grimaldi D, Bussone G, Leone M (2009) Application of IHS criteria to headache attributed to spontaneous intracranial hypotension in a large population. Cephalalgia 29(4):418–422

    Article  PubMed  CAS  Google Scholar 

  8. Pleasure SJ, Abosch A, Friedman J et al (1998) Spontaneous intracranial hypotension resulting in stupor caused by diencephalic compression. Neurology 50(6):1854–1857

    PubMed  CAS  Google Scholar 

  9. Radhakrishnan K, Ahlskog JE, Garrity JA et al (1994) Idiopathic intracranial hypertension. Mayo Clin Proc 69(2):169–180

    PubMed  CAS  Google Scholar 

  10. Wall M (1991) Idiopathic intracranial hypertension. Neurol Clin 9(1):593–617

    Google Scholar 

  11. Schievink WI (2003) Misdiagnosis of spontaneous intracranial hypotension. Arch Neurol 60(12):1713e8

    Article  Google Scholar 

  12. Schievink WI, Maya MM, Moser F et al (2007) Frequency of spontaneous intracranial hypotension in the emergency department. J Headache Pain 8(6):325e8

    Article  Google Scholar 

  13. Szeinfeld M, Ihmeidan IH, Moser MM et al (1986) Epidural blood patch: evaluation of the volume and spread of blood injected into the epidural space. Anesthesiology 64(6):820e2

    Article  Google Scholar 

  14. Franzini A, Messina G, Nazzi V, Mea E, Leone M, Chiapparini L, Broggi G, Bussone G (2010) Spontaneous intracranial hypotension syndrome: a novel speculative physiopathological hypothesis and a novel patch method in a series of 28 consecutive patients. J Neurosurg 112(2):300–306

    Article  PubMed  Google Scholar 

  15. Friedman DI, Jacobson DM (2002) Diagnostic criteria for idiopathic intracranial hypertension. Neurology 59(10):1492–1495

    PubMed  Google Scholar 

  16. Randhawa S, Van Stavern GP (2008) Idiopathic intracranial hypertension (pseudotumor cerebri). Curr Opin Ophthalmol 19(6):445–453

    Article  PubMed  Google Scholar 

  17. De Simone R, Ranieri A, Bonavita V (2010) Advancement in idiopathic intracranial hypertension pathogenesis: focus on sinus venous stenosis. Neurol Sci 31(Suppl 1):S33–S39

    Article  PubMed  Google Scholar 

  18. Wall M (2008) Idiopathic intracranial hypertension (pseudotumor cerebri). Curr Neurol Neurosci Rep 8(2):87–93

    Article  PubMed  Google Scholar 

  19. Parizel PM, Makkat S, Jorens PG et al (2002) Brainstem hemorrhage in descending transtentorial herniation (Duret hemorrhage). Intensive Care Med 28(1):85e8

    Article  Google Scholar 

  20. Agid R, Farb RI (2006) Neuroimaging in the diagnosis of idiopathic intracranial hypertension. Minerva Med 97(4):365–370

    PubMed  CAS  Google Scholar 

  21. Brodsky MC, Vaphiades M (1998) Magnetic resonance imaging in pseudotumor cerebri. Ophthalmology 105(9):1686–1693

    Article  PubMed  CAS  Google Scholar 

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The author declares that he has no actual or potential conflict of interest in relation to this article.

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Mea, E., Franzini, A., D’Amico, D. et al. Treatment of alterations in CSF dynamics. Neurol Sci 32 (Suppl 1), 117–120 (2011). https://doi.org/10.1007/s10072-011-0559-7

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