caa a22 4500 445357886 CHVBK 20180317142906.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10072-011-0699-9 doi (NATIONALLICENCE)springer-10.1007/s10072-011-0699-9 Spontaneous intracranial hypotension: diagnostic and therapeutic implications in neurosurgical practice [Elektronische Daten] [Franzini Angelo, Messina Giuseppe, Mea Eliana, Chiapparini Luisa, Bussone Gennaro] Spontaneous intracranial hypotension syndrome (SIH) is a complex pathological entity due to reduction of cerebrospinal fluid (CSF) volume and results into a variegated symptomatology, ranging from orthostatic headache to more severe conditions, such as stupor and coma; several attempts have been done in the past to understand the exact pathophysiological mechanisms which underlie its phenomenology, as well as different therapeutic approaches to relieve symptoms and reverse the reduction of overall CSF volume, both focally (in the case of a clear localized CSF leak) or by reversing the pressure gradient between the venous system and the subdural and epidural compartments (in the case of idiopathic SIH). The Authors' experience is here reported, along with some pathophysiological and neuroradiological implications and considerations. Springer-Verlag, 2011 Intracranial hypotension nationallicence Spinal blood patch nationallicence Cerebrospinal fluid leak nationallicence Angelo Franzini Department of Neurosurgery, Fondazione IRCCS Istituto Nazionale Neurologico "Carlo Besta”, Milan, Italy aut Giuseppe Messina Department of Neurosurgery, Fondazione IRCCS Istituto Nazionale Neurologico "Carlo Besta”, Milan, Italy aut Eliana Mea Department of Neurology, Fondazione IRCCS Istituto Nazionale Neurologico "Carlo Besta”, Milan, Italy aut Luisa Chiapparini Department of Neuroradiology, Fondazione IRCCS Istituto Nazionale Neurologico "Carlo Besta”, Milan, Italy aut Gennaro Bussone Department of Neurology, Fondazione IRCCS Istituto Nazionale Neurologico "Carlo Besta”, Milan, Italy aut Neurological Sciences Springer Milan 32(2011-12-01), 287-290 1590-1874 32<287 2011 32 10072 https://doi.org/10.1007/s10072-011-0699-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0699-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Angelo Franzini Department of Neurosurgery, Fondazione IRCCS Istituto Nazionale Neurologico "Carlo Besta”, Milan, Italy aut NATIONALLICENCE 700 1- Giuseppe Messina Department of Neurosurgery, Fondazione IRCCS Istituto Nazionale Neurologico "Carlo Besta”, Milan, Italy aut NATIONALLICENCE 700 1- Eliana Mea Department of Neurology, Fondazione IRCCS Istituto Nazionale Neurologico "Carlo Besta”, Milan, Italy aut NATIONALLICENCE 700 1- Luisa Chiapparini Department of Neuroradiology, Fondazione IRCCS Istituto Nazionale Neurologico "Carlo Besta”, Milan, Italy aut NATIONALLICENCE 700 1- Gennaro Bussone Department of Neurology, Fondazione IRCCS Istituto Nazionale Neurologico "Carlo Besta”, Milan, Italy aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32(2011-12-01), 287-290 1590-1874 32<287 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer