Summary of diagnostic features in 19 patients with a diagnosis of SIH
Patient No. | Cranial MR Imaging | Spinal MR Imaging | CSF Pressure | CT Myelography or RC | Dural Puncture or Other Causes | Response to EBP (Immediate Relief*) |
---|---|---|---|---|---|---|
1 | − | + | N | − | − | + |
2 | + | − | ↓ | − | − | + |
3 | + | − | 0 | − | − | + |
4 | + | − | 0 | − | − | + |
5 | + | − | ↓ | − | − | + |
6 | + | − | ↓ | − | − | + |
7 | + | − | ↓ | − | − | + |
8 | + | − | ↓ | − | − | + |
9 | + | + | ↓ | − | − | + |
10 | + | − | ↓ | − | − | + |
11 | + | − | ↓ | − | − | + |
12 | − | + | N | + | − | + |
13 | + | − | ↓ | − | − | + |
14 | + | − | ↓ | − | − | + |
15 | + | − | 0 | − | − | + |
16 | + | − | ↓ | − | − | + |
17 | + | + | ↓ | + | − | + |
18 | + | + | ↓ | − | − | + |
19 | + | − | ↓ | − | − | + |
Note:—SIH indicates spontaneous intracranial hypotension; RC, radionuclide cisternography; EBP, epidural blood patch; N, normal; ↓, low; +, yes; −, no.
* Immediate relief means that the patient symptoms resolve due to the pressure effect of EBP. This does not address complete cure of the disease.