Biomaterial Database

Radionuclide cisternography in spontaneous intracranial hypotension. 1998

M Benamor, and C Tainturier, and P Graveleau, and L Pierot

Department of Nuclear Medicine, Centre Médico-Chirurgical FOCH, Suresnes, France.

We report a case of spontaneous intracranial hypotension (SIH) that was investigated using cranial MRI and radionuclide cisternography. Radionuclide imaging was remarkable, showing direct signs of diffuse asymmetric leakage and indirect signs of cerebrospinal fluid (CSF) hypotension consisting of slow CSF circulation to the convexity and rapid appearance of urinary bladder activity. The MRI appearance was also suggestive of SIH, with diffuse meningeal enhancement. Treatment with autologous blood injection at the level of the radionuclide spinal leakage was useful, resulting in disappearance of SIH symptoms.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008578	Meninges	The three membranes that cover the BRAIN and the SPINAL CORD. They are the dura mater, the arachnoid, and the pia mater.
D011877	Radionuclide Imaging	The production of an image obtained by cameras that detect the radioactive emissions of an injected radionuclide as it has distributed differentially throughout tissues in the body. The image obtained from a moving detector is called a scan, while the image obtained from a stationary camera device is called a scintiphotograph.	Gamma Camera Imaging,Radioisotope Scanning,Scanning, Radioisotope,Scintigraphy,Scintiphotography,Imaging, Gamma Camera,Imaging, Radionuclide
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D013346	Subarachnoid Space	The space between the arachnoid membrane and PIA MATER, filled with CEREBROSPINAL FLUID. It contains large blood vessels that supply the BRAIN and SPINAL CORD.	Space, Subarachnoid,Spaces, Subarachnoid,Subarachnoid Spaces
D017217	Blood Patch, Epidural	The injection of autologous blood into the epidural space either as a prophylactic treatment immediately following an epidural puncture or for treatment of headache as a result of an epidural puncture.	Epidural Blood Patch,Blood Patchs, Epidural,Epidural Blood Patchs,Patch, Epidural Blood,Patchs, Epidural Blood
D019585	Intracranial Hypotension	Reduction of CEREBROSPINAL FLUID pressure characterized clinically by ORTHOSTATIC HEADACHE and occasionally by an ABDUCENS NERVE PALSY; HEARING LOSS; NAUSEA; neck stiffness, and other symptoms. This condition may be spontaneous or secondary to CEREBROSPINAL FLUID LEAK; SPINAL PUNCTURE; NEUROSURGICAL PROCEDURES; DEHYDRATION; UREMIA; trauma (see also CRANIOCEREBRAL TRAUMA); and other processes. Chronic hypotension may be associated with subdural hematomas (see HEMATOMA, SUBDURAL) or hygromas. (From Semin Neurol 1996 Mar;16(1):5-10; Adams et al., Principles of Neurology, 6th ed, pp637-8)	Intracranial Hypotension, Essential,Intracranial Hypotension, Secondary,Intracranial Hypotension, Spontaneous,CSF Hypovolemia,Cerebrospinal Fluid Hypovolemia,CSF Hypovolemias,Cerebrospinal Fluid Hypovolemias,Essential Intracranial Hypotension,Fluid Hypovolemia, Cerebrospinal,Fluid Hypovolemias, Cerebrospinal,Hypotension, Essential Intracranial,Hypotension, Intracranial,Hypotension, Secondary Intracranial,Hypotension, Spontaneous Intracranial,Hypovolemia, CSF,Hypovolemia, Cerebrospinal Fluid,Hypovolemias, CSF,Hypovolemias, Cerebrospinal Fluid,Secondary Intracranial Hypotension,Spontaneous Intracranial Hypotension