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Yalancı-Subaraknoid Kanama ile Prezente Olan İntrakraniyal Hipotansiyonun Görüntüleme Bulguları

Year 2021, , 85 - 87, 01.07.2021
https://doi.org/10.38175/phnx.817499

Abstract

Spontan intrakraniyal hipotansiyon (SIH), kafatasının içindeki sıvı basıncının normalden düşük olduğu bir durumdur. Omurga seviyesinde beyin omurilik sıvısı (BOS) sızıntısına ve bunun sonucunda BOS hacim kaybına sekonder gelişir. Psödo-subaraknoidal kanama, spontan intrakraniyal hipotansiyonu olan hastalarda görülebilen nadir bir durumdur. Tanı çok önemlidir çünkü gerçek subaraknoidal kanama ile karıştırılabilir. Gerçek subaraknoidal kanama SIH hastalarında ortaya çıkabilecek komplikasyonlardan biridir. Bu iki durum arasındaki farkın bilgisayarlı tomografi (BT) ve manyetik rezonans görüntüleme (MRG) bulguları ve girişimsel radyoloji tarafından uygulanan kan-yama tedavisinin yanıtı çok değerlidir.

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References

  • REFERENCES Urbach H. Intracranial hypotension. Current Opinion in Neurology. 2014;27(4):414–424.
  • Ferrante E, Regna-Gladin C. Arpino I, Rubino F, Porrinis L, Ferrante MM, et al. Pseudo-subarachnoid hemorrhage: A potential imaging pitfall associated with spontaneous intracranial hypotension. Clinical Neurology and Neurosurgery. 2013;115(11):2324–2328.
  • Schievink WI, Dodick DW, Mokri B, Silberstein S, Bousser MG, Goadsby PJ. Diagnostic criteria for headache due to spontaneous intracranial hypotension: A Perspective. Headache: The Journal of Head and Face Pain. 2011;51(9):1442–1444.
  • Schievink WI, Maya MM, Tourje J, Moser FG. Pseudo-subarachnoid hemorrhage: A CT-finding in spontaneous intracranial hypotension. Neurology. 2005;65(1):135–137.
  • Given CA, Burdette JH, Elster AD, Williams DW. Pseudosubarachnoid hemorrhage: a potential imaging pitfall associated with diffuse cerebral edema. AJNR. 2003;24:254–256.
  • Farb RI, Nicholson PJ, Peng PW, Massicotte EM, Lay C, Krings T et al.. Spontaneous intracranial hypotension: a systematic imaging approach for CSF leak localization and management based on MRI and Digital Subtraction Myelography. AJNR. 2019;40(4):745-753.
  • Inamasua J, Moriyaa S, Shibatab J, Kumaia T, Hirosea Y. Spontaneous intracranial hypotension manifesting as a unilateral subdural hematoma with a marked midline shift. Case Rep Neurol. 2015;7:71–77.

Imaging Findings of Intracranial Hypotension Presented with Pseudo-Subarachnoidal Hemorrhage

Year 2021, , 85 - 87, 01.07.2021
https://doi.org/10.38175/phnx.817499

Abstract

Spontaneous intracranial hypotension (SIH) is a condition in which the fluid pressure inside the skull is lower than normal. It is secondary to cerebrospinal fluid (CSF) leak at the level of the spine and the resulting loss of CSF volume. Pseudo-subarachnoidal hemorrhage is a rare condition that can occur in patients with spontaneous intracranial hypotension. The diagnosis is very important because it can be confused with true subarachnoidal hemorrhage. True subarachnoidal hemorrhage is one of the complications that may occur in SIH patients. The differentiation of these two conditions as well as computed tomography (CT) and magnetic resonance imaging (MRI) findings and the response of the blood-patch treatment applied by interventional radiology is also very valuable.

Project Number

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References

  • REFERENCES Urbach H. Intracranial hypotension. Current Opinion in Neurology. 2014;27(4):414–424.
  • Ferrante E, Regna-Gladin C. Arpino I, Rubino F, Porrinis L, Ferrante MM, et al. Pseudo-subarachnoid hemorrhage: A potential imaging pitfall associated with spontaneous intracranial hypotension. Clinical Neurology and Neurosurgery. 2013;115(11):2324–2328.
  • Schievink WI, Dodick DW, Mokri B, Silberstein S, Bousser MG, Goadsby PJ. Diagnostic criteria for headache due to spontaneous intracranial hypotension: A Perspective. Headache: The Journal of Head and Face Pain. 2011;51(9):1442–1444.
  • Schievink WI, Maya MM, Tourje J, Moser FG. Pseudo-subarachnoid hemorrhage: A CT-finding in spontaneous intracranial hypotension. Neurology. 2005;65(1):135–137.
  • Given CA, Burdette JH, Elster AD, Williams DW. Pseudosubarachnoid hemorrhage: a potential imaging pitfall associated with diffuse cerebral edema. AJNR. 2003;24:254–256.
  • Farb RI, Nicholson PJ, Peng PW, Massicotte EM, Lay C, Krings T et al.. Spontaneous intracranial hypotension: a systematic imaging approach for CSF leak localization and management based on MRI and Digital Subtraction Myelography. AJNR. 2019;40(4):745-753.
  • Inamasua J, Moriyaa S, Shibatab J, Kumaia T, Hirosea Y. Spontaneous intracranial hypotension manifesting as a unilateral subdural hematoma with a marked midline shift. Case Rep Neurol. 2015;7:71–77.
There are 7 citations in total.

Details

Primary Language English
Subjects Radiology and Organ Imaging
Journal Section Case Reports
Authors

Ergul Cindemir 0000-0003-1698-2291

Nurdan Gocgun 0000-0002-4605-6718

Bahar Atasoy 0000-0002-5393-5876

Behice Kaniye Yılmaz 0000-0001-6842-3323

Rüştü Turkay 0000-0002-7837-9861

Türkan İkizceli 0000-0002-5683-0391

Project Number yok
Publication Date July 1, 2021
Submission Date October 28, 2020
Acceptance Date November 24, 2020
Published in Issue Year 2021

Cite

Vancouver Cindemir E, Gocgun N, Atasoy B, Yılmaz BK, Turkay R, İkizceli T. Imaging Findings of Intracranial Hypotension Presented with Pseudo-Subarachnoidal Hemorrhage. Phnx Med J. 2021;3(2):85-7.

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