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. 2025 Jan;67(1):3-5.
doi: 10.1007/s00234-024-03529-2. Epub 2024 Dec 23.

Reply: Dementia in spontaneous intracranial hypotension: look at the spine

Horst Urbach  1 , Niklas Lützen  2 , Katharina Wolf  2 , Jürgen Beck  2
Affiliations

Reply: Dementia in spontaneous intracranial hypotension: look at the spine

Horst Urbach et al. Neuroradiology. 2025 Jan.
No abstract available

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Conflict of interest statement

Declarations. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Sagittal contrast-enhanced MPRAGE (A), axial T2-weighted SPACE (B), coronal T2-weighted STIR images (C) in a 56-year-old man with apathy since four years. Note the sucking of the brainstem, of the mesial temporal lobes, of the basal frontal lobes towards the interpeduncular cistern. The optic tract is sucked downwards (A: arrow), the upper brainstem has a longer a.p. diameter (B: a/b), the left hippocampus is sucked over the petroclinoid fold (C: arrow), and the basal frontal lobes point downwards (C: triangle). Dynamic left lateral CT myelography revealed a left-sided CSF venous fistula at Th10/11 (D: arrow). The patient rapidly improved after surgical ligation
See this image and copyright information in PMC

References

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    1. Lützen N, Demerath T, Würtemberger U et al (2024) Direct Comparison of Digital Subtraction Myelography versus CT-Myelography in Lateral Decubitus Position: Evaluation of Diagnostic Yield for CSF-venous Fistulas. J Neurointerv Surg 16:1060–1065 - PMC - PubMed

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