Paldino Michael, Mogilner Alon Y, Tenner Michael S
Department of Neurosurgery, New York Medical College, Valhalla 10595, USA.
Neurosurg Focus. 2003 Dec 15;15(6):ECP2.
Intracranial hypotension may have variable clinical presentations, but has a rather uniform component of postural headache among its symptomatology. Its symptoms are explainable given the effects of the hypotension and attempts within the craniospinal axis to maintain volume homeostasis in the face of cerebrospinal fluid leakage (Monro-Kellie hypothesis). The imaging corollaries of the consequences of intracranial hypotension are especially well depicted on magnetic resonance imaging studies.
颅内低压可能有多种临床表现,但其症状学中相当一致的部分是体位性头痛。考虑到低血压的影响以及在脑脊液漏出情况下颅脊髓轴内维持容量稳态的尝试(孟罗 - 凯利假说),其症状是可以解释的。颅内低压后果的影像学表现尤其在磁共振成像研究中得到很好的描绘。