Spontaneous intracranial hypotension (SIH): differential diagnosis
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Spontaneous intracranial hypotension (SIH): differential diagnosis. Post lumbar puncture headache (PLPH). Fully referenced neurology checklist.
Causes of low CSF pressure headache
- Post lumbar puncture headache (PLPH)
- Spinal CSF venous fistula
Causes of orthostatic headache
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References
- Schievink WI, Maya M, Moser F, Nuño M. Long-term risks of persistent ventral spinal csf leaks in SIH: superficial siderosis and bibrachial amyotrophy. Neurology 2021; 97:e1964-e1970.
- Khurana RK, Eisenberg L. Orthostatic and non-orthostatic headache in postural tachycardia syndrome. Cephalalgia 2010; 31:409-415.
- Bond KM, Benson JC, Cutsforth-Gregory JK, Kim DK, Diehn FE, Carr CM. Spontaneous intracranial hypotension: atypical radiologic appearances, imaging mimickers, and clinical look-alikes. Am J Neuroradiol 2020; 41:1339-1347.
- Kumar N, Diehn FE, Carr CM, et al. Spinal CSF venous fistula: a treatable etiology for CSF leaks in craniospinal hypovolemia. Neurology 2016; 86:2310-2312.
- Schievink WI, Moser FG, Maya MM, Prasad RS. Digital subtraction myelography for the identification of spontaneous spinal CSF-venous fistulas. J Neurosurg Spine 2016; 24:960-964.
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