Department of Neurology, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Ir J Med Sci. 2012 Jun;181(2):171-7. doi: 10.1007/s11845-011-0766-5. Epub 2011 Oct 5.
The clinical syndrome of spontaneous intracranial hypotension (SIH) was first proposed in 1938 and describes a headache syndrome virtually identical to the headaches, which may follow dural puncture. Orthostatic headache, low cerebrospinal fluid opening pressure, and diffuse meningeal enhancement on post-contrast T1-weighted MRI brain studies are the major features of this increasingly recognised syndrome. We describe a case series of patients diagnosed with SIH, their treatment and outcome, and a review of the literature. We propose that this is an important cause of new daily persistent headaches, which is usually relatively easy to diagnose, and if recognised early, is eminently treatable.
自发性颅内低血压（SIH）的临床综合征于 1938 年首次提出，描述了一种与头痛几乎完全相同的头痛综合征，可能与硬脑膜穿刺后有关。直立性头痛、脑脊液开放压降低以及对比后 T1 加权 MRI 脑研究的脑膜弥漫性增强是这种日益被认识的综合征的主要特征。我们描述了一组诊断为 SIH 的患者的病例系列、他们的治疗和结果，并回顾了文献。我们提出，这是新的持续性每日头痛的一个重要原因，这种头痛通常相对容易诊断，如果早期发现，是可以很好治疗的。
