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Spontaneous Intracranial Hypotension: Characteristic Findings of Radionuclide Cisternography Using In-111 DTPA
The authors describe two patients with spontaneous intracranial hypotension. The patients had the cardinal features of a postural headache. In both patients, radionuclide cisternography revealed cerebrospinal fluid (CSF) leakage at the cervicothoracic junction and early accumulation of isotope in th...
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Published in: | Clinical nuclear medicine 1999-10, Vol.24 (10), p.823-823 |
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container_title | Clinical nuclear medicine |
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creator | OZAKI, YUTAKA SUMI, YUKIHARU KYOGOKU, SHINSUKE SHINDOH, NOBORU KATAYAMA, HITOSHI |
description | The authors describe two patients with spontaneous intracranial hypotension. The patients had the cardinal features of a postural headache. In both patients, radionuclide cisternography revealed cerebrospinal fluid (CSF) leakage at the cervicothoracic junction and early accumulation of isotope in the urinary tract. Postmyelography CT scans showed no underlying structural abnormalities. Both patients were treated successfully by intravenous infusion of low-osmolarity fluid. Radionuclide cisternography obtained after treatment in one of the patients showed that the CSF leak had disappeared. Radionuclide cisternography enabled the causes of spontaneous intracranial hypotension to be differentiated and visualized the sites of CSF leakage. It was also useful for evaluating changes in a CSF leak after treatment. |
doi_str_mv | 10.1097/00003072-199910000-00028 |
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The patients had the cardinal features of a postural headache. In both patients, radionuclide cisternography revealed cerebrospinal fluid (CSF) leakage at the cervicothoracic junction and early accumulation of isotope in the urinary tract. Postmyelography CT scans showed no underlying structural abnormalities. Both patients were treated successfully by intravenous infusion of low-osmolarity fluid. Radionuclide cisternography obtained after treatment in one of the patients showed that the CSF leak had disappeared. Radionuclide cisternography enabled the causes of spontaneous intracranial hypotension to be differentiated and visualized the sites of CSF leakage. It was also useful for evaluating changes in a CSF leak after treatment.</description><identifier>ISSN: 0363-9762</identifier><identifier>EISSN: 1536-0229</identifier><identifier>DOI: 10.1097/00003072-199910000-00028</identifier><identifier>PMID: 10512123</identifier><identifier>CODEN: CNMEDK</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott Williams & Wilkins, Inc</publisher><subject>Biological and medical sciences ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. 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The patients had the cardinal features of a postural headache. In both patients, radionuclide cisternography revealed cerebrospinal fluid (CSF) leakage at the cervicothoracic junction and early accumulation of isotope in the urinary tract. Postmyelography CT scans showed no underlying structural abnormalities. Both patients were treated successfully by intravenous infusion of low-osmolarity fluid. Radionuclide cisternography obtained after treatment in one of the patients showed that the CSF leak had disappeared. Radionuclide cisternography enabled the causes of spontaneous intracranial hypotension to be differentiated and visualized the sites of CSF leakage. It was also useful for evaluating changes in a CSF leak after treatment.</description><subject>Biological and medical sciences</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><recordid>eNp1kUFvFCEUx4nR2LX6FQwHD15GeTDDDN6a1domTWxqeyYs86aLsjDCTJr99rLOqr2UhBDyfu__wg9CKLAPwFT7kZUlWMsrUErB4VaVzbtnZAWNkBXjXD0nKyakqFQr-Ql5lfMPxkCCrF-SE2ANcOBiRcL3MYbJBIxzppdhSsYmE5zx9GI_xglDdjF8ouutKZUJk8uTs_Tchd6F-0zjQG9MX5DZetcjXZc6phDvkxm3e3qXC1ViKwCgn2-vz16TF4PxGd8cz1Nyd_7ldn1RXX37erk-u6qsELyr6raRUoCqxQZN6RWysbUVMAyy77u-5tAxbtXG1AyFaBQy5E3bttgjRwEbcUreL7ljir9mzJPeuWzR--WlGrpGiRLcsoJ2C2pTzDnhoMfkdibtNTB9sK3_2tb_bOs_tkvr2-OUebPD_lHjorcA746Aydb4oai1Lv_nlJS1OOTUC_YQfdGXf_r5AZPeovHTVj_12eI3lHmWFg</recordid><startdate>199910</startdate><enddate>199910</enddate><creator>OZAKI, YUTAKA</creator><creator>SUMI, YUKIHARU</creator><creator>KYOGOKU, SHINSUKE</creator><creator>SHINDOH, NOBORU</creator><creator>KATAYAMA, HITOSHI</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199910</creationdate><title>Spontaneous Intracranial Hypotension: Characteristic Findings of Radionuclide Cisternography Using In-111 DTPA</title><author>OZAKI, YUTAKA ; SUMI, YUKIHARU ; KYOGOKU, SHINSUKE ; SHINDOH, NOBORU ; KATAYAMA, HITOSHI</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3328-4756631943bea111365c4c31ff6dd8d421802c9ba40e3359e0e25777ede2e31b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Biological and medical sciences</topic><topic>Headache. 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Cerebral palsy</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OZAKI, YUTAKA</creatorcontrib><creatorcontrib>SUMI, YUKIHARU</creatorcontrib><creatorcontrib>KYOGOKU, SHINSUKE</creatorcontrib><creatorcontrib>SHINDOH, NOBORU</creatorcontrib><creatorcontrib>KATAYAMA, HITOSHI</creatorcontrib><collection>Pascal-Francis</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OZAKI, YUTAKA</au><au>SUMI, YUKIHARU</au><au>KYOGOKU, SHINSUKE</au><au>SHINDOH, NOBORU</au><au>KATAYAMA, HITOSHI</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous Intracranial Hypotension: Characteristic Findings of Radionuclide Cisternography Using In-111 DTPA</atitle><jtitle>Clinical nuclear medicine</jtitle><addtitle>Clin Nucl Med</addtitle><date>1999-10</date><risdate>1999</risdate><volume>24</volume><issue>10</issue><spage>823</spage><epage>823</epage><pages>823-823</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><coden>CNMEDK</coden><abstract>The authors describe two patients with spontaneous intracranial hypotension. 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source | LWW_医学期刊 |
subjects | Biological and medical sciences Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Medical sciences Nervous system (semeiology, syndromes) Neurology |
title | Spontaneous Intracranial Hypotension: Characteristic Findings of Radionuclide Cisternography Using In-111 DTPA |
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