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Spontaneous hypotension (SIH) has become a recognized cause of secondary headaches
.
Spontaneous cerebrospinal fluid (CSF) leakage at the spinal level is the cause of SIH
This is a prospective cohort study, and patients meet the revised International Classification of Headache Disorders (ICHD)-III SIH criteria
.
The patient population consisted of a group of continuous SIH and persistent ventral leakage of spinal cord fluid
diagnosis
In 51 cases of low intracranial pressure with persistent ventral leakage of spinal cord and spinal fluid, during 280 patients-years of follow-up, 6 patients developed superficial ironosis, and 2 patients developed arms muscular atrophy
.
The probability of these complications increased from 0% at 48 months to 4.
In patients with SIH and persistent cerebrospinal fluid leakage from the ventral spinal cord, the risk of developing severe long-term sequelae is considerable
.
This study shows that early treatment of ventral cerebrospinal fluid leakage provides an excellent opportunity for treatment to prevent neurological dysfunction caused by superficial hemosiderinosis and arm muscular atrophy
In patients with SIH and persistent cerebrospinal fluid leakage from the ventral spinal cord, the risk of developing severe long-term sequelae is considerable
https://pubmed.
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nih.
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