Romanian Neurosurgery (Sep 2011)

Intracranial hypotension

  • Şt. M. Iencean

Journal volume & issue
Vol. 18, no. 3

Abstract

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The intracranial hypotension is the decrease in the intracranial pressure caused by the decrease in the volume of the cerebrospinal fluid secondary to the CSF loss. The intracranial hypotension is characterized by an orthostatic cephalea, not calmed by antalgics accompanied by nausea, vomiting, vertigos, diplopia, etc. The diagnosis is confirmed by a lumbar manometry and by the performed paraclinical explorations (cerebral CT, cerebral MRI). The intracranial hypotension treatment is - etiologic, and it consists in closing the CSF fistula; pathogenic, which consists in recreating the normal CSF volume, and symptomatic, which refers to the treatment of the symptoms related to intracranial hypotension.

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