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NEUROLOGY 2005;64:1282-1284
© 2005 American Academy of Neurology
Brief Communications

Cranial MRI predicts outcome of spontaneous intracranial hypotension

Wouter I. Schievink, MD, M. Marcel Maya, MD and Charles Louy, MD

From the Maxine Dunitz Neurosurgical Institute (Dr. Schievink), Imaging Medical Group (Dr. Maya), and Department of Anesthesiology (Dr. Louy), Cedars–Sinai Medical Center, Los Angeles, CA.

Address correspondence and reprint requests to Dr. W.I. Schievink, Maxine Dunitz Neurosurgical Institute, Cedars–Sinai Medical Center, 8631 W. Third St., Suite 800E, Los Angeles, CA 90048; e-mail: schievinkw{at}cshs.org

The outcome of spontaneous intracranial hypotension has been unpredictable. The results of initial MRI were correlated to outcome of treatment in 33 patients with spontaneous intracranial hypotension. A good outcome was obtained in 25 (97%) of 26 patients with an abnormal MRI vs only 1 (14%) of 7 patients with a normal MRI (p = 0.00004). These findings show that normal initial MRI is predictive of poor outcome in spontaneous intracranial hypotension.

Received September 29, 2004. Accepted in final form December 21, 2005.




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W. I. Schievink
Spontaneous Spinal Cerebrospinal Fluid Leaks and Intracranial Hypotension
JAMA, May 17, 2006; 295(19): 2286 - 2296.
[Abstract] [Full Text] [PDF]


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