Journal of neurosurgery. Case lessons · 2026
Atypical presentations and long-term sequelae of spontaneous intracranial hypotension: illustrative cases.
СтатьяНазвание и аннотация: Перевод в очереди
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Nasiri Danial, Häni Levin, Terrapon Alexis P R, Lutz Katharina, Goldberg Johannes, Dorn Patrick, Roten-Joss Christine, Eckert Aude, Raabe Andreas, Z'Graggen Werner J, Piechowiak Eike I, Schär Ralph T, Dobrocky Tomas
Аннотация
BACKGROUND: Spontaneous intracranial hypotension (SIH) is typically recognized by orthostatic headache and characteristic neuroimaging findings such as brain sagging and dural enhancement, but atypical manifestations and long-term sequelae remain underreported.
OBSERVATIONS: The authors present 5 cases that illustrate uncommon SIH presentations and complications, including reversible cerebral vasoconstriction syndrome, sinus vein thrombosis, ventral spinal cord herniation, thoracic meningocele, secondary Arnold-Chiari malformation type I, and superficial siderosis.
LESSONS: SIH may present with diverse complications beyond orthostatic headache; awareness and follow-up imaging are important for timely diagnosis and management. https://thejns.org/doi/10.3171/CASE26236.
OBSERVATIONS: The authors present 5 cases that illustrate uncommon SIH presentations and complications, including reversible cerebral vasoconstriction syndrome, sinus vein thrombosis, ventral spinal cord herniation, thoracic meningocele, secondary Arnold-Chiari malformation type I, and superficial siderosis.
LESSONS: SIH may present with diverse complications beyond orthostatic headache; awareness and follow-up imaging are important for timely diagnosis and management. https://thejns.org/doi/10.3171/CASE26236.