Research Article
Spontaneous Intracranial Hypotension: Long-Term Follow-Up
Table 2
Patients with spontaneous intracranial hypotension (SIH) and positive MR signs for intracranial hypotension.
| | N | M/F | Age at onset (range) | Relapse () | Comorbidity () | Diagnostic | Work-up | Treatment | MR brain | MR spine/CT-myelography | LP () (cm CSF) | Epidural blood patch (mean per patient) | Other treatment () |
| No headache | 16 | 7/9 | 39 (19-62) | 1 | Leiden V Endometriosis Migraine | 1 2 2 | PGE Hygroma BS PE VDS | 16 8 2 2 1 | Not performed Normal PGE Perineural cysts Epidural fluid Disc herniation M. diverticula Osteophyte CSVF Dural defect | 8 1 2 1 4 0 0 0 1 1 | 3 (4, 7, 8) | 2.4 Patient with 8 EBPs was not included | Surgical removal of hygroma Surgery for CSVF | 2
1 |
| Exertional headache/ mild chronic headache | 14 | 7/7 | 44 (23-75) | 4 | Arterial hypertension Atrial fibrillation Irritable bowel sy | 2 1 1 | PGE Hygroma BS PE VDS | 14 5 2 2 3 | Not performed Normal PGE Perineural cysts Epidural fluid Disc herniation M. diverticula Osteophyte CSVF Dural defect | 2 3 2 2 7 2 0 0 1 1 | 3 (0, 6, 5) | 1.8 | Surgery for dural defect | 3 |
| Moderate-to- severe headache | 7 | 1/6 | 50 (36-65) | 1 | Arterial hypertension Migraine | 1 3 | PGE Hygroma BS PE VDS Normal | 6 1 1 1 0 1 | Not performed Normal PGE Perineural cysts Epidural fluid Disc herniation M. diverticula Osteophyte Dural defect | 1 3 0 2 2 0 1 1 1 | 1 (8) | 2.8 | 0 | |
| Total | 37 | 15/22 | 44 | 6 | — | | — | | — | | 7 | 2.3 | — | |
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