Headache associated with intracranial hypotension: diagnostic challenges and difficulties in everyday neurological practice.
Neurol Neurochir Pol
; 58(1): 21-30, 2024.
Article
en En
| MEDLINE
| ID: mdl-38393961
ABSTRACT
Low pressure of cerebrospinal fluid (CSF) is a rare cause of headache, except when the patient undergoes a lumbar puncture. Headache associated with a low CSF pressure i.e. intracranial hypotension causes diagnostic difficulties. Headaches related to spontaneous intracranial hypotension (SIH) pose a significant diagnostic challenge in everyday neurological practice. Patients with headaches due to SIH are usually diagnosed only after a long delay. Diagnostic problems may result in unnecessary invasive diagnostic procedures, or even neurosurgical operations. Diagnosing headaches attributed to SIH requires the consideration of several clinical scenarios, and the disease's features causing primary or secondary disturbances. In this review, we discuss the differential diagnosis of SIH-related headaches with reference to accumulated knowledge, including meta-analyses, guidelines, casuistry, and the applicable criteria of the International Classification of Headache Disorders. In addition, we discuss head and spine magnetic resonance imaging abnormalities, which may indicate intracranial hypotension.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Hipotensión Intracraneal
Límite:
Humans
Idioma:
En
Revista:
Neurol Neurochir Pol
Año:
2024
Tipo del documento:
Article
País de afiliación:
Polonia
Pais de publicación:
Polonia