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Review
. 2024 May;28(5):395-401.
doi: 10.1007/s11916-024-01231-9. Epub 2024 Mar 2.

Rebound Intracranial Hypertension

Simy K Parikh  1
Affiliations
Review

Rebound Intracranial Hypertension

Simy K Parikh. Curr Pain Headache Rep. 2024 May.

Abstract

Purpose of review: Rebound intracranial hypertension (RIH) is a post-procedural treatment complication in patients with spontaneous intracranial hypotension (SIH) characterized by transient high-pressure headache symptoms. This article reviews the epidemiology, clinical features, risk factors, and treatment options for RIH.

Recent findings: This article discusses how changes in underlying venous pressure and craniospinal elastance can explain symptoms of RIH, idiopathic intracranial hypertension (IIH), and SIH. The pathophysiology of RIH provides a clue for how high and low intracranial pressure disorders, such as IIH and SIH, are connected on a shared spectrum.

Keywords: CSF hydrodynamics; CSF leak; Idiopathic intracranial hypertension; Rebound intracranial hypertension; Spontaneous intracranial hypertension.

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Conflict of interest statement

SKP is an unpaid member of the medical advisory board for the Spinal CSF Leak Foundation and section editor of Current Pain and Headache Reports.

Figures

Fig. 1
Fig. 1
Hypothetical intracranial pressure–volume curve. As a system moves from a state of lower elastance (dotted line) to higher elastance (solid line), the same increase in volume results in higher intracranial pressure
See this image and copyright information in PMC

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