Research Article

Spontaneous Intracranial Hypotension: Long-Term Follow-Up

Table 3

Patients with probable spontaneous intracranial hypotension (pSIH) but without MR signs for intracranial hypotension.

NM/FAge at onset
(range)
Relapse
()
Comorbidity
()
DiagnosticWork-upTreatment
MR brainMR spine/
CT-myelography
LP ()
(cm CSF)
Epidural
blood patch
(mean per
patient)
Other ()

No headache32/148 (34-72)0Migraine1NormalNormal
Not performed
1
2
01.80

Exertional
headache/
mild chronic
headache
42/238 (33-44)0Migraine1NormalNormal
Not performed
Perineural cysts
Disc herniation
1
3
1
2
01.30

Moderate-
to-severe
headache
63/342 (22-63)0Arterial hypertension
Migraine
1
1
NormalNormal
Not performed
Perineural cysts
0
4
1
2 (11, 15)1.50

Total137/642021.50

M: male; F: female; LP: lumbar puncture; PGE: pachymeningeal gadolinium enhancement; BS: brain sagging; PE: pituitary engorgement; VDS: venous distension sign; M. diverticula: meningeal diverticula; CSVF: cerebrospinal venous fistula.