Spontaneous intracranial hypotension (SIH): complications

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

Spontaneous intracranial hypotension (SIH): complications. Subarachnoid haemorrhage (SAH). Fully referenced neurology checklist.

Vascular complications

  • Superficial siderosis: this is possibly due to intraspinal haemorrhage
  • Subarachnoid haemorrhage (SAH)
  • Cerebral vein thrombosis (CVT)
  • Stroke

Complications of persistent ventral spinal CSF leaks

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Other complications

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References

  1. Stephen CD, Rojas R, Lioutas VA, Papavassiliou E, Simon DK. Complicated spontaneous intracranial hypotension treated with intrathecal saline infusion. Pract Neurol 2016; 16:146-149.
  2. Webb AJ, Flossmann E, Armstrong RJ. Superficial siderosis following spontaneous intracranial hypotension. Pract Neurol 2015; 15:382-384.
  3. Schievink WI, Wasserstein P, Maya MM. Intraspinal hemorrhage in spontaneous intracranial hypotension: link to superficial siderosis? Report of 2 cases. J Neurosurg Spine 2016; 24:454-456.
  4. Kumar N, Miller GM, Piepgras DG, Mokri B. A unifying hypothesis for a patient with superficial siderosis, low-pressure headache, intraspinal cyst, back pain, and prominent vascularity. J Neurosurg 2010; 113:97-101.
  5. Perry A, Graffeo CS, Brinjikji W, Copeland WR 3rd, Rabinstein AA, Link MJ. Spontaneous occult intracranial hypotension precipitating life-threatening cerebral venous thrombosis: case report. J Neurosurg Spine 2018; 28:669-678. 
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