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Case Reports
. 2025 Dec;31(6):870-871.
doi: 10.1177/15910199231215115. Epub 2023 Nov 22.

Diagnosis and surgical therapy of spontaneous intracranial hypotension

Tomas Klail  1 , Christopher M Jesse  2 , Ralph T Schär  2 , Levin Häni  2 , Andreas Raabe  2 , Christoph J Schankin  3 , Eike I Piechowiak  1 , Tomas Dobrocky  1
Affiliations
Case Reports

Diagnosis and surgical therapy of spontaneous intracranial hypotension

Tomas Klail et al. Interv Neuroradiol. 2025 Dec.

Abstract

Spontaneous intracranial hypotension (SIH) is a serious medical condition caused by loss of cerebrospinal fluid at the level of the spine, which, when not treated, may cause substantial long-term disability and increase morbidity. The following video summarizes the necessary steps for successful diagnosis and treatment of SIH, starting with a brain and spine magnetic resonance imaging, followed by dynamic myelography. Because an epidural bloodpatch did not provide a lasting relief, the patient underwent surgery which demonstrated a ventral dural slit caused by an osteodiscogenic microspur. In the 1-month follow up, the patient was symptom free. This video is meant to raise awareness of SIH among clinicians in order to increase general sensitivity for this diagnosis.

Keywords: Brain; intervention; intracranial pressure; spine.

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Conflict of interest statement

Declaration of conflicting interestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

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