objectives upon completion of this presentation, participants will be able to: 1) recognize mri appearance of the spontaneous intracranial hypotension and idiopathic intracranial hypertension (pseudotumor cerebri). 2) review their various clinical and imaging presentations. conclusions in this presentation we will review imaging presentations of our several proved cases. as mentioned, there are...

The association of spontaneous intracranial hypotension with cerebral venous sinus thrombosis is rare. We report here a case of extensive cerebral venous sinus thrombosis involving three sinuses following spontaneous intracranial hypotension. The patient presented no other thrombotic risk factors except for spontaneous intracranial hypotension. This case adds to the evidence that spontaneous in...

abstract radionuclide cisternography (rnc) is of potential value in pointing out the sites of cerebrospinal fluid (csf) leakage in patients with spontaneous intracranial hypotension (sih). in the current report, we present two patients who underwent rnc for suspected csf leakage. both patients underwent magnetic resonance imaging (mri) and rnc for evaluation. we describe a simple method to incr...

abstract the current mainstay of treatment in spontaneous intracranial hypotension (sih) is an epidural blood patch (ebp). although magnetic resonance imaging (mri) has a well-established role in the diagnosis of sih, imaging features regarding the treatment efficacy of ebp have rarely been discussed. we therefore sought to investigate and compare the sequential brain mri studies before and aft...

Spontaneous intracranial hypotension (SIH) is a syndrome in which a cerebrospinal fluid leak occurs within the spinal axis, and may lead to a constellation of neurological symptoms. A postural or orthostatic headache is the most common of these symptoms1. Spontaneous intracranial hypotension was first recognized by Georg Schaltenbrand in the 1930s. Many terms have been used to describe the cond...

Spontaneous intracranial hypotension (SIH) is a condition in which the fluid pressure inside skull lower than normal. It secondary to cerebrospinal (CSF) leak at level of spine and resulting loss CSF volume. Pseudo-subarachnoidal hemorrhage rare that can occur patients with spontaneous hypotension. The diagnosis very important because it be confused true subarachnoidal hemorrhage. True one comp...

Intracranial hypotension is not an uncommon diagnosis after lumbar puncture or neurosurgery. However, spontaneous intracranial hypotension (SIH) is a poorly understood entity that can present with a wide variety of symptoms/signs ranging from headache to coma. SIH may result from an occult spinal cerebrospinal fluid (CSF) leak. Alternatively, because a CSF leak is not always found, some posit t...

Spontaneous intracranial hypotension (SIH) is caused by single or multiple cerebrospinal fluid (CSF) leaks in the spine with the prototypical symptom of postural headache. One of the characteristic MRI features in SIH is intracranial venous engorgement. This report presents a case of SIH with engorgement of the bilateral superior ophthalmic veins (SOVs) which resume their normal diameters by th...

Spontaneous intracranial hypotension (SIH) is a rare cause of persistent headache, particularly among young and middle-aged people. A potentially life-threatening complication SIH cerebral venous thrombosis (CVT). The authors present case in which patient presented with complicated by CVT one week after receiving booster dose mRNA COVID-19 vaccine. According to our literature review, this the f...