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Case Report
DOI: 10.1016/j.neucir.2018.06.003
Spontaneous intracranial hypotension due to sacral diverticula: Two-case history and a pocket-sized review
Hipotensión intracraneal espontánea por divertículos sacros: historia de dos casos y revisión de bolsillo
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Francesco Cultrera
Corresponding author
, Giorgio Lofrese, Maria Teresa Nasi
Neurosurgery Department, M. Bufalini Hospital, v.le Ghirotti 286, 47521 Cesena (FC), Italy
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Received 03 December 2017, Accepted 12 June 2018
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Abstract

Spontaneous intracranial hypotension is an increasingly recognized cause of atypical, secondary headaches. Nevertheless, its clinical and imaging spectrum is far from an exhaustive definition, ranging from straightforward cases with unambiguous findings and prompt response to treatment to more challenging ones, requiring advanced, more complex imaging and targeted therapies. We describe two unusual cases as a cue to draw a literature-based, practical approach to the management of the syndrome.

Keywords:
Headache
Spontaneous intracranial hypotension
CSF leak
Imaging
Epidural blood patch-management
Resumen

La hipotensión intracraneal espontánea es cada vez más reconocida como causa de cefalea secundaria atípica. Su espectro clínico y de imágenes está lejos de ser exhaustivamente definido, y varía desde casos simples con hallazgos inequívocos y pronta respuesta al tratamiento a los más desafiantes, que requieren imágenes avanzadas y terapias dirigidas. Describimos 2 casos como una señal para dibujar un enfoque práctico basado en la literatura para el manejo de este síndrome.

Palabras clave:
Cefalea
Hipotensión intracraneal espontánea
Fuga de fluido cerebroespinal
Imágenes
Parche de sangre epidural

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