World neurosurgery · 2017
Spontaneous Intracranial Hypotension: A Review and Introduction of an Algorithm For Management.
Клинический случайСтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
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Davidson Benjamin, Nassiri Farshad, Mansouri Alireza, Badhiwala Jetan H, Witiw Christopher D, Shamji Mohammed F, Peng Philip W, Farb Richard I, Bernstein Mark
Аннотация
BACKGROUND: Spontaneous intracranial hypotension (SIH) is a condition of low cerebrospinal fluid volume and pressure caused by a leak of cerebrospinal fluid through a dural defect. Diagnosis and management can be difficult, often requiring coordination between multiple disciplines for myelography, blood patching, and possible surgical repair. Patients should be monitored closely, because they can deteriorate into a coma or even death. There are no widely accepted guidelines for the management of SIH.
METHODS AND CONCLUSIONS: We review the existing SIH literature, illustrate management challenges via a case review, and propose an algorithm developed by neurosurgeons, radiologists, and anesthesiologists intended to simplify and streamline the management of SIH.
METHODS AND CONCLUSIONS: We review the existing SIH literature, illustrate management challenges via a case review, and propose an algorithm developed by neurosurgeons, radiologists, and anesthesiologists intended to simplify and streamline the management of SIH.