questionsmedicales.fr
Maladies du système nerveux
Maladies du système nerveux central
Encéphalopathies
Hypotension intracrânienne
Hypotension intracrânienne : Questions médicales fréquentes
Diagnostic
5
Hypotension intracrânienne
Imagerie par résonance magnétique
Ponction lombaire
Liquide céphalorachidien
Imagerie par résonance magnétique
Affaissement cérébral
Critères de diagnostic
Pression du liquide céphalorachidien
Symptômes
5
Maux de tête
Hypotension intracrânienne
Nausées
Pression intracrânienne
Troubles de la vision
Nerf optique
Symptômes
Variabilité individuelle
Prévention
5
Antécédents médicaux
Fuites de LCR
Repos
Intervention médicale
Hydratation
Pression du LCR
Activités physiques
Complications
Traitements
5
Intervention chirurgicale
Fuite de LCR
Réhydratation
Pression intracrânienne
Complications
5
Complications
Douleurs chroniques
Douleurs chroniques
Traitement
Troubles cognitifs
Pression intracrânienne
Facteurs de risque
5
Facteurs de risque
Chirurgie cérébrale
Femmes
Hypotension intracrânienne
Migraines
Hypotension intracrânienne
Interventions médicales
Ponction lombaire
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"name": "Quels tests sont utilisés pour confirmer l'hypotension intracrânienne ?",
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"name": "Quels signes cliniques indiquent une hypotension intracrânienne ?",
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"name": "L'IRM peut-elle détecter l'hypotension intracrânienne ?",
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"position": 9,
"acceptedAnswer": {
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"name": "Les symptômes varient-ils d'une personne à l'autre ?",
"position": 10,
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"name": "Comment prévenir l'hypotension intracrânienne ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Éviter les procédures invasives sans nécessité et rester bien hydraté peut aider."
}
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{
"@type": "Question",
"name": "Les personnes à risque peuvent-elles prendre des précautions ?",
"position": 12,
"acceptedAnswer": {
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"text": "Oui, les personnes ayant des antécédents de fuites de LCR doivent être vigilantes."
}
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"@type": "Question",
"name": "Le repos aide-t-il à prévenir cette condition ?",
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"@type": "Question",
"name": "L'hydratation est-elle cruciale pour la prévention ?",
"position": 14,
"acceptedAnswer": {
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"text": "Oui, une bonne hydratation est essentielle pour maintenir une pression adéquate du LCR."
}
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"@type": "Question",
"name": "Les activités physiques intenses doivent-elles être évitées ?",
"position": 15,
"acceptedAnswer": {
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"text": "Oui, éviter les activités intenses peut réduire le risque de complications."
}
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"@type": "Question",
"name": "Quels traitements sont disponibles pour l'hypotension intracrânienne ?",
"position": 16,
"acceptedAnswer": {
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"text": "Les traitements incluent la réhydratation, les médicaments et parfois une intervention chirurgicale."
}
},
{
"@type": "Question",
"name": "Les médicaments peuvent-ils aider à l'hypotension intracrânienne ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des médicaments comme la caféine peuvent aider à augmenter la pression du LCR."
}
},
{
"@type": "Question",
"name": "Quand une intervention chirurgicale est-elle nécessaire ?",
"position": 18,
"acceptedAnswer": {
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"text": "Une chirurgie peut être nécessaire si une fuite de LCR ne peut pas être contrôlée par d'autres moyens."
}
},
{
"@type": "Question",
"name": "La réhydratation est-elle un traitement efficace ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la réhydratation par voie intraveineuse peut aider à restaurer la pression intracrânienne."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements non médicamenteux ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des techniques comme le repos et l'hydratation peuvent également être bénéfiques."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec l'hypotension intracrânienne ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des douleurs chroniques et des troubles neurologiques."
}
},
{
"@type": "Question",
"name": "L'hypotension intracrânienne peut-elle entraîner des séquelles ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des séquelles neurologiques peuvent survenir si la condition n'est pas traitée."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque de récidive ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les patients peuvent connaître des récidives, surtout s'ils ont des fuites de LCR."
}
},
{
"@type": "Question",
"name": "Les douleurs chroniques sont-elles fréquentes ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les douleurs chroniques peuvent persister même après le traitement de l'hypotension."
}
},
{
"@type": "Question",
"name": "Des troubles cognitifs peuvent-ils survenir ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des troubles cognitifs peuvent se développer en raison de la pression intracrânienne basse."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de l'hypotension intracrânienne ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les antécédents de chirurgie cérébrale et les fuites de LCR sont des facteurs de risque."
}
},
{
"@type": "Question",
"name": "Les femmes sont-elles plus à risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines études montrent que les femmes peuvent être plus susceptibles d'en souffrir."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque d'hypotension intracrânienne ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes plus âgées peuvent avoir un risque accru en raison de la déshydratation."
}
},
{
"@type": "Question",
"name": "Les personnes ayant des migraines sont-elles à risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes souffrant de migraines peuvent avoir un risque accru d'hypotension."
}
},
{
"@type": "Question",
"name": "Les interventions médicales augmentent-elles le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines interventions comme la ponction lombaire peuvent augmenter le risque d'hypotension."
}
}
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}
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}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 16/12/2025
Contenu vérifié selon les dernières recommandations médicales
8 publications dans cette catégorie
Affiliations :
professor, chefläkare, neurokirurgiska kliniken, Universitätsklinikum Freiburg, Tyskland.
6 publications dans cette catégorie
Affiliations :
Department of Neurology, Mayo Clinic, Rochester, MN, USA.
5 publications dans cette catégorie
Affiliations :
Department of Neurosurgery, Universitätsklinikum Freiburg.
Publications dans "Hypotension intracrânienne" :
5 publications dans cette catégorie
Affiliations :
Cedars-Sinai Medical Center, Advanced Health Sciences Pavilion, Suite A6600, 127 South San Vicente Boulevard, Los Angeles, CA 90048, USA.
Publications dans "Hypotension intracrânienne" :
5 publications dans cette catégorie
Affiliations :
University Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland; Department of Neuroradiology, Toronto Western Hospital, Toronto, ON, Canada. Electronic address: tomas.dobrocky@insel.ch.
Publications dans "Hypotension intracrânienne" :
5 publications dans cette catégorie
Affiliations :
Department of Neurosurgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Publications dans "Hypotension intracrânienne" :
5 publications dans cette catégorie
Affiliations :
Department of Neurosurgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Publications dans "Hypotension intracrânienne" :
4 publications dans cette catégorie
Publications dans "Hypotension intracrânienne" :
4 publications dans cette catégorie
Affiliations :
med dr, överläkare, neurokirurgiska kliniken, Universitätsklinikum Freiburg, Tyskland.
Publications dans "Hypotension intracrânienne" :
4 publications dans cette catégorie
Affiliations :
Department of Neuroradiology, Universitätsklinikum Freiburg.
Publications dans "Hypotension intracrânienne" :
3 publications dans cette catégorie
Affiliations :
med dr, bitr överläkare, neurokirurgiska kliniken, Universitätsklinikum Freiburg, Tyskland.
Publications dans "Hypotension intracrânienne" :
3 publications dans cette catégorie
Affiliations :
Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK.
Headache and Facial Pain Group, National Hospital for Neurology and Neurosurgery, London, UK.
Publications dans "Hypotension intracrânienne" :
3 publications dans cette catégorie
Affiliations :
Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, UK.
Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK.
Publications dans "Hypotension intracrânienne" :
3 publications dans cette catégorie
Affiliations :
Department of Radiology, Division of Neuroradiology, Duke University Medical Center, DUMC Box 3808, Durham, NC 27710, USA. Electronic address: https://twitter.com/TimAmrheinMD.
Publications dans "Hypotension intracrânienne" :
3 publications dans cette catégorie
Affiliations :
Department of Radiology, Mayo Clinic, Rochester, MN, USA; Department of Neurosurgery, Mayo Clinic, Rochester, MN, USA.
Publications dans "Hypotension intracrânienne" :
3 publications dans cette catégorie
Affiliations :
University Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Publications dans "Hypotension intracrânienne" :
3 publications dans cette catégorie
Affiliations :
Department of Neurosurgery, Inselspital, Bern University Hospital, and University of Bern, Bern, Switzerland.
Publications dans "Hypotension intracrânienne" :
2 publications dans cette catégorie
Affiliations :
Department of Neuroradiology, Universitätsklinikum Freiburg.
Publications dans "Hypotension intracrânienne" :
2 publications dans cette catégorie
Affiliations :
Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK.
Headache and Facial Pain Group, National Hospital for Neurology and Neurosurgery, London, UK.
Publications dans "Hypotension intracrânienne" :
2 publications dans cette catégorie
Affiliations :
Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK manjit.matharu@nhs.net.
Headache and Facial Pain Group, National Hospital for Neurology and Neurosurgery, London, UK.
Publications dans "Hypotension intracrânienne" :
Spontaneous intracranial hypotension (SIH) is a disease presenting mostly with orthostatic head and neck pain due to a spontaneous cerebrospinal fluid (CSF) leak or a CSF-venous fistula in the spinal ...
The most common neuroimaging manifestations of patients suffering from spontaneous intracranial hypotension (SIH) include subdural fluid collections, enhancement of the pachymeninges, engorgement of v...
We describe patients who presented with unique neuroimaging findings who were eventually found to have a spinal CSF leak or venous fistula. Relevant clinical history and neuroradiology findings are pr...
We present six patients with a proven CSF leak or fistula who presented with dural venous sinus thrombosis, compressive ischemic injury, spinal hemosiderosis, subarachnoid hemorrhage, pial vascular en...
Radiologists should be familiar with atypical neuroimaging manifestations of SIH in order to avoid misdiagnosis and guide the clinical trajectory of the patient towards accurate diagnosis and eventual...
Spontaneous intracranial hypotension (SIH) is a syndrome characterized by disabling orthostatic headache, due to reduced cerebrospinal fluid (CSF) volume probably caused by a CSF fistula. It affects m...
Dural tears at the level of the cervical, thoracic, and lumbar spine cause spontaneous intracranial hypotension (SIH) in patients with a spinal longitudinal extradural CSF collection (SLEC); however, ...
Retrospective data from SIH patients with confirmed sacral dural tears studied between October 2020 and November 2022 were analyzed with respect to demographic, clinical and imaging features. Digital ...
Of the SIH patients, 9 (all women; mean age, 38.5 years; mean body mass index, BMI, 22.9) out of 149 had a sacral dural leak (6%) that occurred spontaneously in 7/9, while 2/9 were likely associated w...
Sacral dural tears should be considered as a possible cause for SIH. It is concluded to implement T2-MRM covering the entire sacrum in the standard MRI protocol and propose EBP in the reverse Trendele...
Intracranial hypotension syndrome (IHS) is attributed to reduced cerebrospinal fluid (CSF) pressure. It may be spontaneous or secondary to a history of trauma or systemic disease. We present the case ...
We aimed to create a multidisciplinary consensus clinical guideline for best practice in the diagnosis, investigation and management of spontaneous intracranial hypotension (SIH) due to cerebrospinal ...
A 29-member SIG was established, with members from neurology, neuroradiology, anaesthetics, neurosurgery and patient representatives. The scope and purpose of the guideline were agreed by the SIG by c...
SIH and its differential diagnoses should be considered in any patient presenting with orthostatic headache. First-line imaging should be MRI of the brain with contrast and the whole spine. First-line...
This multidisciplinary consensus clinical guideline has the potential to increase awareness of SIH among healthcare professionals, produce greater consistency in care, improve diagnostic accuracy, pro...
We report the case of a patient with metastatic breast cancer who presented with an orthostatic headache. After a comprehensive diagnostic workup including MRI and lumbar puncture, we maintained the d...
Spontaneous intracranial hypotension from spinal cerebrospinal fluid leak is a condition that often presents as orthostatic headaches. Diagnosis and localisation of spinal CSF leaks remain difficult d...
Spontaneous intracranial hypotension (SIH) is an underdiagnosed and debilitating condition caused by a spinal cerebrospinal fluid (CSF) leak. Although SIH can lead to substantial morbidity and disabil...
Patients were recruited from an SIH specialty clinic at a large, U.S.-based healthcare center. Patients undergoing an initial consultation who were ≥ 18 years old, English-speaking, met the Internatio...
Fifteen participants completed interviews. Common symptoms reported by patients included headache, tinnitus, ear fullness/pressure/pain, and neck or interscapular pain. Patients reported that their sy...
Patients reported a diverse set of symptoms that were attributed to SIH, with devastating impacts on functioning and high levels of disability. Researchers considering use of PROMs for SIH should cons...
CSF-venous fistulas are an important cause of spontaneous intracranial hypotension but are challenging to detect. A newly described technique known as resisted inspiration has been found to augment th...
A retrospective cohort of patients underwent CT myelography from November 2022 to January 2023. Patients with an observed or suspected CSF-venous fistula identified during CT myelography using standar...
Eight patients with confirmed CSF-venous fistulas who underwent CT myelography using the 3-phase respiratory protocol were included. Visibility of the CSF-venous fistula was greatest during resisted i...
In patients with spontaneous intracranial hypotension, resisted inspiration improved visualization of CSF-venous fistulas in most, but not all, cases. Further investigation is needed to determine the ...