scholarly journals Post-dural puncture headache: Epidemiology, onset mechanisms, clinical symptoms, diagnosis and therapy

2019 ◽  
Vol 72 (11-12) ◽  
pp. 383-388
Author(s):  
Svetlana Simic ◽  
Aleksandar Kopitovic ◽  
Tamara Rabi-Zikic ◽  
Jelena Knezevic ◽  
Ljiljana Radmilo ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Intracranial Pressure ◽  
Dural Puncture ◽  
Clinical Symptoms ◽  
Fluid Pressure ◽  
Cerebrospinal Fluid Pressure ◽  
Secondary Headache ◽  
Post Dural Puncture Headache ◽  
Diagnosis And Therapy ◽  
Greater Occipital Nerve

Introduction. Post-dural puncture headache is classified as a secondary headache attributable to non-vascular intracranial disorders and belongs to the group of headaches caused by low cerebrospinal fluid pressure. Etiopathogenesis. The pathogenesis is not completely clear, but it is thought to be caused by the cerebrospinal fluid leak through the duct opening. Cerebrospinal fluid efflux leads to a decrease in intracranial pressure and stretching of the pain sensitive intracranial structures. A drop in intracranial pressure can cause compensatory cerebrovascular vasodilation, contributing to the onset of a headache. Diagnosis and Therapy. Post-dural puncture headache clinically presents as an orthostatic headache. In most cases, the diagnosis is made based on a typical clinical picture and it can be confirmed by magnetic resonance imaging and measurement of cerebrospinal fluid pressure. The condition is usually benign, most often with spontaneous recovery. The therapy involves conservative treatment, medications, as well as some invasive methods: epidural blood patches, blockage of the greater occipital nerve, and in most severe cases, epidural injection of fibrin sealant or surgical dural repair. Conclusion. Post-dural puncture headache is a common complaint in the clinical practice of neurologists and anesthesiologists. The prognosis is usually favourable, while the therapy may include conservative or invasive treatment procedures.

scholarly journals Intracranial pressure, its components and cerebrospinal fluid pressure-volume compensation

2015 ◽  
Vol 134 (3) ◽  
pp. 168-180 ◽  
Author(s):  
M. Kasprowicz ◽  
D. A. Lalou ◽  
M. Czosnyka ◽  
M. Garnett ◽  
Z. Czosnyka
Keyword(s):  
Cerebrospinal Fluid ◽  
Intracranial Pressure ◽  
Fluid Pressure ◽  
Cerebrospinal Fluid Pressure

scholarly journals Reference Values For Intracranial Pressure And Lumbar Cerebrospinal Fluid Pressure: A Systematic Review

2021 ◽  
Author(s):  
Nicolas Hernandez Norager ◽  
Markus Harboe Olsen ◽  
Sarah Hornshoej Pedersen ◽  
Casper Schwartz Riedel ◽  
Marek Czosnyka ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cerebrospinal Fluid ◽  
Intracranial Pressure ◽  
Reference Values ◽  
Supine Position ◽  
Body Position ◽  
Fluid Pressure ◽  
Reference Intervals ◽  
Cerebrospinal Fluid Pressure ◽  
Lumbar Cerebrospinal Fluid

Abstract BackgroundAlthough widely used in the evaluation of the diseased, normal intracranial pressure and lumbar cerebrospinal fluid pressure remains sparsely documented. Intracranial pressure is different from lumbar cerebrospinal fluid pressure. In addition, intracranial pressure differs considerably according to body position of the patient. Despite this, the current reference interval are used indistinguishable for intracranial and lumbar cerebrospinal fluid pressure, and body position dependent reference intervals does not exist. In this study, we aim to establish these reference intervals.MethodA systematic search was conducted in MEDLINE, EMBASE, CENTRAL, and Web of Sciences. Methodological quality was assessed using an amended version of the Joanna Briggs Quality Appraisal Checklist. Intracranial pressure and lumbar cerebrospinal fluid pressure were independently evaluated and subdivided into body positions. Quantitative data were presented with mean ± SD, and 90% reference intervals.ResultsThirty-six studies were included. Nine studies reported values for intracranial pressure, while 27 reported values for the lumbar cerebrospinal fluid pressure. Reference values for intracranial pressure were -5.9 to 8.3 mmHg in the upright position and 0.9 to 16.3 mmHg in supine position. Reference values for lumbar cerebrospinal fluid pressure were 7.2 to 16.8 mmHg and 5.7 to 15.5 mmHg in the lateral recumbent position and supine position, respectively. ConclusionsThis systematic review is the first to provide position-dependent reference values for intracranial pressure and lumbar cerebrospinal fluid pressure. Clinically applicable reference values for normal lumbar cerebrospinal fluid pressure was established, and were in accordance with previously used reference values. For intracranial pressure, this study strongly emphasizes the scarse normal material, and highlights the need for further research on the matter.

scholarly journals Reference values for intracranial pressure and lumbar cerebrospinal fluid pressure: a systematic review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Nicolas Hernandez Norager ◽  
Markus Harboe Olsen ◽  
Sarah Hornshoej Pedersen ◽  
Casper Schwartz Riedel ◽  
Marek Czosnyka ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cerebrospinal Fluid ◽  
Intracranial Pressure ◽  
Reference Values ◽  
Supine Position ◽  
Body Position ◽  
Fluid Pressure ◽  
The Body ◽  
Cerebrospinal Fluid Pressure ◽  
Lumbar Cerebrospinal Fluid

Abstract Background Although widely used in the evaluation of the diseased, normal intracranial pressure and lumbar cerebrospinal fluid pressure remain sparsely documented. Intracranial pressure is different from lumbar cerebrospinal fluid pressure. In addition, intracranial pressure differs considerably according to the body position of the patient. Despite this, the current reference values do not distinguish between intracranial and lumbar cerebrospinal fluid pressures, and body position-dependent reference values do not exist. In this study, we aim to establish these reference values. Method A systematic search was conducted in MEDLINE, EMBASE, CENTRAL, and Web of Sciences. Methodological quality was assessed using an amended version of the Joanna Briggs Quality Appraisal Checklist. Intracranial pressure and lumbar cerebrospinal fluid pressure were independently evaluated and subdivided into body positions. Quantitative data were presented with mean ± SD, and 90% reference intervals. Results Thirty-six studies were included. Nine studies reported values for intracranial pressure, while 27 reported values for the lumbar cerebrospinal fluid pressure. Reference values for intracranial pressure were −  5.9 to 8.3 mmHg in the upright position and 0.9 to 16.3 mmHg in the supine position. Reference values for lumbar cerebrospinal fluid pressure were 7.2 to 16.8 mmHg and 5.7 to 15.5 mmHg in the lateral recumbent position and supine position, respectively. Conclusions This systematic review is the first to provide position-dependent reference values for intracranial pressure and lumbar cerebrospinal fluid pressure. Clinically applicable reference values for normal lumbar cerebrospinal fluid pressure were established, and are in accordance with previously used reference values. For intracranial pressure, this study strongly emphasizes the scarcity of normal pressure measures, and highlights the need for further research on the matter.

Intracranial hypertension following neck dissection

1986 ◽  
Vol 100 (12) ◽  
pp. 1427-1432 ◽  
Author(s):  
W. A. E. J. de Vries ◽  
A. J. M. Balm ◽  
R. M. Tiwari
Keyword(s):  
Cerebrospinal Fluid ◽  
Intracranial Pressure ◽  
Neck Dissection ◽  
Radical Neck Dissection ◽  
Fluid Pressure ◽  
Anatomical Variations ◽  
Cerebrospinal Fluid Pressure ◽  
Increased Intracranial Pressure ◽  
Specific Therapy ◽  
The Brain

AbstractA 51-year-old man developed prolonged papilloedema as a result of increased cerebrospinal fluid pressure following staged bilateral radical neck dissection. The patient recovered completely with no further specific therapy. Although the prognosis for vision is usually good in patients with longstanding papilloedema due to raised cerebrospinal fluid pressure, permanent visual impairment remains a serious complication. In the presence of anatomical variations of the venous pathways by which the blood leaves the brain, a raised intracranial pressure may also develop following unilateral radical neck dissection. Nine cases of increased intracranial pressure following unilateral radical neck dissection reported in the literature until now are briefly reviewed.

scholarly journals Intraocular Pressure and Estimated Cerebrospinal Fluid Pressure. The Beijing Eye Study 2011

PLoS ONE ◽  
2014 ◽  
Vol 9 (8) ◽  
pp. e104267 ◽  
Author(s):  
Ya Xing Wang ◽  
Jost B. Jonas ◽  
Ningli Wang ◽  
Qi Sheng You ◽  
Diya Yang ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Intraocular Pressure ◽  
Fluid Pressure ◽  
Cerebrospinal Fluid Pressure ◽  
Beijing Eye Study

Normal Cerebrospinal Fluid Pressure in the Newborn

1986 ◽  
Vol 17 (02) ◽  
pp. 100-102 ◽  
Author(s):  
A. Kaiser ◽  
A. G. Whitelaw
Keyword(s):  
Cerebrospinal Fluid ◽  
Fluid Pressure ◽  
Cerebrospinal Fluid Pressure

Effect of altering cerebrospinal fluid pressure on spinal cord blood flow

1994 ◽  
Vol 58 (1) ◽  
pp. 112-115 ◽  
Author(s):  
Shigeru Kazama ◽  
Yoshihiko Masaki ◽  
Shigeyoshi Maruyama ◽  
Akira Ishihara
Keyword(s):  
Spinal Cord ◽  
Blood Flow ◽  
Cerebrospinal Fluid ◽  
Cord Blood ◽  
Fluid Pressure ◽  
Cerebrospinal Fluid Pressure ◽  
Spinal Cord Blood Flow
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