More articles from Spine
- Validity of the Bern Score as a Surrogate Marker of Clinical Severity in Patients with Spontaneous Intracranial Hypotension
The Bern score quantitatively characterizes brain MR imaging changes in spontaneous intracranial hypotension. This imaging biomarker was shown to have a low correlation with clinical headache severity and, therefore, imaging findings in isolation may have limited utility as primary outcome measures when assessing treatment response.
- Resisted Inspiration Improves Visualization of CSF-Venous Fistulas in Spontaneous Intracranial Hypotension
This retrospective cohort of patients with observed or suspected CSF-venous fistula identified during standard maximum suspended inspiration CT myelography were rescanned using resisted inspiration and the Valsalva maneuver. Visibility of the CSF-venous fistula was greatest during resisted inspiration in most of the cases.
- Efficacy of Epidural Blood Patching or Surgery in Spontaneous Intracranial Hypotension: A Systematic Review and Evidence Map
Evidence gaps demonstrate a need for prospective study designs, clinical trials, and comparative studies. The authors recommend using the International Classification of Headache Disorders-3 diagnostic criteria, explicit reporting of CSF leak subtype, inclusion of key procedural details, and using objective validated outcome measures collected at uniform time points.
- Utility of Photon-Counting Detector CT Myelography for the Detection of CSF-Venous Fistulas
In all 6 cases, precise localization of the CVF on PCD CTM was instrumental in permitting targeted treatment.
- Why, How Often, and What Happens When We Fail: A Retrospective Analysis of Failed Fluoroscopically Guided Lumbar Punctures
Initial and repeat FGLPs have very high success rates. No difference exists in the likelihood of patients returning for a re-attempt based on clinical indication.