Spontaneous intracranial hypotension (SIH): Bern MRI scoring system

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Spontaneous intracranial hypotension (SIH): Bern MRI scoring system. Pachymeningeal enhancement. Fully referenced neurology checklist.

Major items: 2 points each

  • Pachymeningeal enhancement
  • Engorged venous sinuses
  • Effacement of suprasellar cistern ≤ 4.0 mm  

Minor items: 1 point each

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Probability score for spinal leak

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References

  1. Dobrocky T, Grunder L, Breiding PS, et al. Assessing spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension with a scoring system based on brain magnetic resonance imaging findings. JAMA Neurol 2019; 76:580-587.

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