Department of Radiology, The Permanente Medical Group, Kaiser Permanente Medical Center, Santa Clara, 700 Lawrence Expy, Santa Clara, CA 95051, USA; Department of Radiology and Biomedical Imaging, University of California, San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143, USA.
Neuroimaging Clin N Am. 2025 Feb;35(1):143-154. doi: 10.1016/j.nic.2024.08.006. Epub 2024 Sep 5.
There have been major advances in the diagnosis and treatment of spontaneous intracranial hypotension (SIH). While once thought to be a rare condition, the occurrence is not uncommon if diagnosed adequately. Our greater understanding of SIH is based on three main points: (1) awareness of the various types of spontaneous spinal cerebrospinal fluid (CSF) leaks; (2) advanced myelography with the precision to detect dural tears and CSF-venous fistulas; and (3) updated treatment techniques of epidural patching, embolization, and surgery. This review discusses the various types of epidural patching for CSF leaks.
自发性颅内低血压（SIH）的诊断和治疗已经取得了重大进展。虽然曾经被认为是一种罕见的疾病，但如果得到充分诊断，其发生率并不罕见。我们对 SIH 的认识主要基于以下三点：（1）对各种类型的自发性脊髓脑脊液（CSF）漏的认识；（2）高级脊髓造影术，具有检测硬脑膜撕裂和 CSF-静脉瘘的精确性；（3）硬膜外贴补、栓塞和手术的更新治疗技术。本文综述了各种类型的硬膜外贴补治疗 CSF 漏。
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