Maurya Vinay K, Ravikumar R, Bhatia Mukul, Sirohi Y S
Associate Professor, Department of Radiodiagnosis, Armed Forces Medical College, Pune 411040, India.
Commandant, Military Hospital Bhopal, MP, India.
Med J Armed Forces India. 2017 Apr;73(2):188-196. doi: 10.1016/j.mjafi.2016.11.012. Epub 2017 Jan 6.
Headache disorders are among the most common presenting complaints in any neurology outpatient department. International Headache Society classifies headaches as "primary" or "secondary". The causes of secondary headaches are varied and intracranial hypotension is one of them. It typically presents clinically with postural headaches but most of the times, its diagnosis is delayed, as it is an uncommon cause and there is poor awareness among the medical fraternity about this condition. Imaging, especially magnetic resonance imaging (MRI), plays a crucial role in the diagnosis of intracranial hypotension by not only confirming the diagnosis but also detecting the cause in some cases. This case series tries to highlight the MRI findings of intracranial hypotension in three cases with different etiologies.
头痛疾病是任何神经内科门诊最常见的就诊主诉之一。国际头痛协会将头痛分为“原发性”或“继发性”。继发性头痛的病因多种多样,颅内低压是其中之一。它临床上通常表现为体位性头痛,但大多数情况下,其诊断会延迟,因为这是一种不常见的病因,而且医学界对这种疾病的认识不足。影像学检查,尤其是磁共振成像(MRI),在颅内低压的诊断中起着至关重要的作用,不仅可以确诊,而且在某些情况下还能检测出病因。本病例系列试图突出三例不同病因的颅内低压的MRI表现。