Bed regime as a lifesaving factor in spontaneous intracranial hypotension

Rogala, Adrian; Ząbek, Mateusz; Ząbek, Mirosław

doi:10.5603/pjnns.a2021.0043

Cited by 7 publications

(5 citation statements)

References 11 publications

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“…are one of the first to point out a severe complication due to noncompliance with bed rest as a cause of brain wedging in patients with SIH. [ 20 ]…”

Section: Discussionmentioning

confidence: 99%

Original technique of sealing cerebrospinal fluid leakage from dural sac causing spontaneous cerebral hypotension

Ząbek

2022

Surgical Neurology International

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Background: Spontaneous intracranial hypotension (SIH) is a rare disease characterized by a decrease in the volume and pressure of cerebrospinal fluid (CSF) resulting from its leakage through the dura mater. SIH is curable, but it can lead to serious clinical sequelae or even death if not treated properly. Case Description: A 37-year-old female with headaches occurring in standing position and increasing especially during verticalization. Magnetic resonance imaging showed an image characteristic of SIH. Conservative treatment was applied in the form of bed rest. CT myelography scan located the site of CSF leakage. As the conservative treatment proved inefficient, it was decided to perform an epidural fistula sealing using the patient’s venous blood, administered under computed tomography guidance. The performed procedure completely resolved the patient’s complaints, allowing her to be discharged home. Conclusion: Patients with suspected SIH should remain in the supine position until a definitive diagnosis is made. Sealing the meningeal fistula with venous blood under computed tomography guidance should be considered in case of conservative treatment failure.

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“…are one of the first to point out a severe complication due to noncompliance with bed rest as a cause of brain wedging in patients with SIH. [ 20 ]…”

Section: Discussionmentioning

confidence: 99%

Original technique of sealing cerebrospinal fluid leakage from dural sac causing spontaneous cerebral hypotension

Ząbek

2022

Surgical Neurology International

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“…Type 4 is of indeterminate origin) [13,23]. For those patients with mild symptoms, simple measures including bed rest and water supplements may alleviate the symptoms [24]. The most common initial treatment is non-targeted epidural blood patches (EBP) when symptoms are persistent or significant.…”

Section: Discussionmentioning

confidence: 99%

Worldwide Productivity and Research Trend of Publications Concerning Spontaneous Intracranial Hypotension: a Bibliometric Analysis

Liu

2022

JNNS

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Background and Aim: Spontaneous intracranial hypotension (SIH) is a highly misdiagnosed disease. The main reason is the lack of awareness. This study sought to summarize the current status of research in this field via a bibliometric analysis. Materials and Methods: The publications were searched in the Web of Science Core Collection (WoSCC) database. Data analysis and visualization were carried out using the cooperative network and cluster analysis of R and Cite Space software. Results: A total of 618 publications from 2008 to 2021 were included in this study. The number of publications has a growth trend. The United States contributed the most articles, and Schievink WI is the most proliﬁc author. Mayo Clinical ranked the ﬁrst compared with other institutions. American Journal of Neuroradiology has published the most articles in this field. The top 3 clusters of reference co-citation are “delayed recurrence”, “cerebrospinal fluid-venous fistula”, and “floating dural sac sign”. The top 3 clusters of keyword co-appearance are “spinal fluid leak headache”, “symptom duration”, and “cerebral venous thrombosis”. The strongest citation burst of keywords is “CSF-venous fistula” and “paraspinal vein sign”. Conclusions: This study analyzes the research progress of SIH, and the current research mainly focuses on CSF-venous fistula. The bibliometric analysis of SIH is expected to help researchers effectively explore the disease.

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“…Bettruhe, ausreichende orale Hydratation, Theophyllin und orale Koffeingaben sind die Säulen der nicht invasiven Therapie der SIH. Besonders die Langzeiterfolge dieser Therapiemethode gelten als deutlich eingeschränkt 1 , 27 .…”

Section: Behandlungsmethodenunclassified

Spontane intrakranielle Hypotension

Albes¹

2023

Radiologie up2date

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Bed regime as a lifesaving factor in spontaneous intracranial hypotension

Cited by 7 publications

References 11 publications

Original technique of sealing cerebrospinal fluid leakage from dural sac causing spontaneous cerebral hypotension

Original technique of sealing cerebrospinal fluid leakage from dural sac causing spontaneous cerebral hypotension

Worldwide Productivity and Research Trend of Publications Concerning Spontaneous Intracranial Hypotension: a Bibliometric Analysis

Spontane intrakranielle Hypotension

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