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         Intracranial Hypotension:     more detail
  1. Spontaneous intracranial hypotension.: An article from: Southern Medical Journal by Megdad Zaatreh, Alan Finkel, 2002-11-01

61. International Journal Of Obstetric Anesthesia
MG Adams, C Romanowski, IJ Wrench, Spontaneous intracranial hypotension lessonsto be learned for the investigation of post dural puncture headache.
http://www.harcourt-international.com/journals/ijoa/accepted.cfm

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International Journal of Obstetric Anesthesia Accepted Papers

The following papers have been recently accepted for inclusion in the journal. Author(s) Title R Ferrie, J M B Smallman Benign metastasising leiomyoma: a rare cause of breathlessness following caesarean section J Morch-Siddall, N Corbitt, M Bryson Auditing the standard of anaesthesia care in obstetric units P D Sutherland, M Y K Wee, P Weston-Smith et al The use of thrombembolic deterrent stockings and a sequential compression drive to prevent spinal hypotension during caesarean section M J Douglas Platelets, the parturient and regional anesthesia M Razzaque, J A Crowhurst, F Plaat Angio-oedema following rectal diclofenac after caesarean section G Babita, M Rashmi Combined spinal epidural anesthesia for cesarean section in a patient with left lung agenesis G D Jeskins, P A S Moore, G M Cooper, M Lewis

62. Health Ency.: Disease: CSF Leak
Alternative names intracranial hypotension. Definition Escape offluid that normally surrounds the brain from between the cavities
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Ency. home Disease C CSF leak Overview Symptoms Treatment Alternative names: Intracranial hypotension Definition: Escape of fluid that normally surrounds the brain from between the cavities within the brain or from the central canal in the spinal cord. Causes and Risks A tear in the dura ( the membrane that surrounds the brain and spinal cord in which the CSF is found) may occur spontaneously, after spinal surgery, sinus or cranial surgery, penetrating head trauma or following a lumbar puncture (spinal tap). Ency. home Disease C Please read this Important notice Also Check Out
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63. Health Ency.: Index Page
opioids Intoxication uppers Intra-abdominal abscess Intracerebral hemorrhageIntracranial hemorrhage intracranial hypotension Intracranial pressure
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64. ÂÉÂËÉÏÃÑÁÖÉÁ
Title The prophylaxis and treatment of headache due to intracranial hypotensionAuthor Arjona A Citation REV. NEUROL. 1998;27(160)10271033.
http://www.mednet.gr/com/imigran/abs990312.htm
Title: Sumatriptan nasal spray: A dose-ranging study in the acute treatment of migraine
Author: Peikert A;Becker WJ;Ashford EA;Dahlof C;Hassani H;Salonen RJ
Citation: EUR. J. NEUROL. 1999;6(1):43-49. Title: Radiofrequency cervical zygapophyseal joint neurotomy for cervicogenic headache: A prospective study of 15 patients
Author: Van Suijlekom HA;Van Kleef M;Barendse GAM;Sluijter ME;Sjaastad O;Weber WEJ
Citation: FUNCT. NEUROL. 1998;13(4):297-303. Title: The prophylaxis and treatment of headache due to intracranial hypotension
Author: Arjona A
Citation: REV. NEUROL. 1998;27(160):1027-1033. Title: Cranial vascular effects of zolmitriptan, a centrally active 5-HT(1B/1D) receptor partial agonist for the acute treatment of migraine
Author: MacLennan SJ;Cambridge D;Whiting MV;Marston C;Martin GR
Citation: EUR. J. PHARMACOL. 1998;361(2-3):191-197. Title: Viagra and cluster headache
Author: Stein M
Citation: HEADACHE 1999;39(1):58-59. Title: Pharmacokinetic and pharmacodynamic profiles of sumatriptan in migraine patients with headache recurrence or no response Author: Visser WH;Burggraaf J;Muller LM;Schoemaker RC;Fowler PA;Cohen AF;Ferrari MD

65. Signs And Symptoms
Search PUBMED for Intracranial Hypertension All Review Therapy Diagnosis.intracranial hypotension Search PUBMED for Intracranial
http://www.ohsu.edu/cliniweb/C23/C23.888.html
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66. Sixth Cranial Nerve Palsy - New York Eye & Ear Infirmary
Diffuse dural enhancement with subdural pockets of fluid. Biopsy organizingsubdural hygroma Consistent with spontaneous intracranial hypotension.
http://www.nyee.edu/page_deliv.html?page_no=190&origin=45

67. Obstetrics And Gynecology Table Of Contents
804 Spontaneous intracranial hypotension During Pregnancy Spontaneous intracranialhypotension, characterized by severe postural headache, can occur in the
http://www.greenjournal.org/gj5-01b.cfm
TABLE OF CONTENTS Volume / Number , Part 2 / May 2001
Pregnancy Complicated by Chronic Spinal Cord Injury and History of Autonomic Hyperreflexia

Vaginal delivery and intrauterine procedures might be done safely in women with autonomic hyperreflexia in previous pregnancies.
Christian S. Pope, Glenn R. Markenson, Lucy A. Bayer-Zwirello, Gerda S. Maissel
Spontaneous Intracranial Hypotension During Pregnancy
Spontaneous intracranial hypotension, characterized by severe postural headache, can occur in the first trimester.
Hirobumi Asakura Zuisei Hayashi Mariko Seto Tsutomu Araki
Caffeine-Induced Hypokalemic Paralysis in Pregnancy
Excessive caffeine consumption during pregnancy can result in hypokalemia and progressive neuromuscular paralysis.
Carin C. Appel Thomas D. Myles
Combined Deficiency of Factors II VII IX , and X Borgschulte-Grigsby Deficiency) in Pregnancy Michael J. McMahon Andra H. James Leukemia in Pregnancy and Fetal Response to Multiagent Chemotherapy Despite normal umbilical artery Doppler scans, multiagent chemotherapy for maternal leukemia might cause transient oligohydramnios and decreased fetal growth rate. Wendy F. Hansen

68. Al Día - Tablas De Contenido De Revistas Especializadas
U Huang, JH - Baranov, D - Zager, EL - Grady, MS Título intracranial hypotensionafter Intraoperative Lumbar Cerebrospinal Fluid Drainage Agregar a carro
http://www.al-dia.cl/sistema/tablas/listar.asp?r=1972

69. Table Of Contents Receive Table Of Contents Via E-mail Abstracts
intracranial hypotension after Intraoperative Lumbar Cerebrospinal Fluid Drainage,Uzma Samadani, MD, Ph.D.; Jason H. Huang, MD; Dmitriy Baranov, MD; Eric L
http://www.neurosurgery-online.com/toc/toc5201.html
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70. Hydrocephalus: Children's Healthcare Of Atlanta
flow. Headaches may occur with evidence of low intracranial pressure,a condition termed intracranial hypotension. These headaches
http://www.choa.org/library/conditions/hydro-slit.shtml
For more information
Neurologic Conditions

Hydrocephalus
Slit Ventricle Syndrome
contributed by Roger J. Hudgins, M.D. and William R. Boydston, M.D., Ph.D.
he slit ventricle syndrome is usually seen after the shunt has been in place for several years and is characterized by chronic or recurring headaches and slit-like ventricles shown by CT. The slit ventricle syndrome is not a single pathologic entity, but is a symptom complex with several etiologies. The evaluation and management of the slit ventricle syndrome requires a systematic and comprehensive approach.
The initial step in the evaluation of the slit ventricle syndrome is to ensure patency of the shunt using the radioisotope shunt function study discussed above. If the shunt is occluded, a shunt revision is performed. If the shunt is functional, the next step is to monitor the intracranial pressure. This is achieved by placement of a small fiberoptic transducer into the outer surface of the brain and measurement of pressure over several hours to days. The child or parents record when the headaches occur and this correlated with their pressure recordings.
Consistently high intracranial pressure or frequent waves of high pressure of a functioning shunt implies a reduction of the buffering reserve normally afforded by CSF. Increased intracranial pressure, which would result from increases in intracranial pressure, which would result from increases in intracranial blood volume, is normally prevented by increased absorption of CSF. A constant decrease in the amount of CSF in the intracranial space (from over shunting) precludes this protective mechanism and allows increased intracranial pressure and headaches with increases in blood flow. These children invariably have a relatively small head circumference and thick skull. The preferred treatment is a cranial expansion. This will increase the intracranial volume and allow for the normal changes in blood flow.

71. AMEDEO: The Medical Literature Guide
K, Sasaki T. Cerebrospinal fluid leak demonstrated by threedimensional computedtomographic myelography in patients with spontaneous intracranial hypotension.
http://www.amedeo.com/medicine/cvd/SURGNEUR.HTM
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Surg Neurol
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December 2002 MIZUSHIMA H, Seki T.
Midbrain hemorrhage presenting with oculomotor nerve palsy: case report.
Surg Neurol 2002; 58: 417-20..
Abstract
Related articles NAKAJIMA H, Yasui T, Nishikawa M, Kishi H, Kan M. The role of postoperative patient posture in the recurrence of chronic subdural hematoma: a prospective randomized trial. Surg Neurol 2002; 58: 385-7. Abstract Related articles November 2002 AUSMAN JI. Intraoperative angiography for intracranial aneurysm surgery: what it really means. Surg Neurol 2002; 58: 351-3.. MARTIN CJ, Sinson G, Patterson T, Zager EL, Stecker MM. Sensitivity of scalp eeg, cortical eeg, and somatosensory evoked responses during surgery for intracranial aneurysms. Surg Neurol 2002; 58: 317-20.. Abstract Related articles NANDA A, Willis BK, Vannemreddy PS. Selective intraoperative angiography in intracranial aneurysm surgery: intraoperative factors associated with aneurysmal remnants and vessel occlusions.

72. Mioti: Medical Condition
Interstitial Pneumonia, • Intestinal Pseudoobstruction. •intracranial hypotension, • Iron Deficiency Anemia. • Irritable
http://www.mioti.com/cat/condition/results.asp?Alpha=I

73. Hypotension
Translate this page Le syndrome d'hypotension intracrânienne (en anglais intracranial hypotension),au cours duquel la chute de la pression à l'intérieur du crâne est
http://www.vulgaris-medical.com/texth/hypotens.html
Hypotension
Baisse de la pression artérielle systolique au-dessous de la normale, c'est-à-dire de 100 mm de mercure. Ce terme recouvre également la tension intérieure d'un organe en tant que pression, par exemple l'hypotension oculaire.

Il existe plusieurs formes d'hypotension :
  • L'évolution de la maladie se fait quelques années plus tard vers des troubles articulaires et tendineux associés à des problèmes de marche, avec tremblements, rigidité dans les mouvements, ainsi que des troubles de la parole. La maladie de Shy et Drager, qui évolue vers la mort après une période très longue, est secondaire à une atteinte anatomique à type de dégénérescence (destruction progressive) des noyaux gris du cerveau (amas de substance grise noyés dans la substance blanche) mais également des noyaux gris situés dans la moelle épinière et à d'autres niveau de l'encéphale (système nerveux à l'intérieur du crâne). Ces noyaux gris portent le nom de locus niger, noyau dorsal du vague, locus caeruleus, putamen. Ces localisations nerveuses permettent, quand leur état est normal, d'assurer le bon fonctionnement automatique de certains organes (régulation de la tension artérielle, régulation de la sueur, adaptation de l'ouverture et de la fermeture des vaisseaux, etc…).
  • · L'hypotension contrôlée (en anglais induced hypotension) se caractérise par l'abaissement de la tension artérielle au cours de certaines interventions chirurgicales nécessitant une diminution de la pression du sang à l'intérieur des vaisseaux. C'est le cas, entre autres, des interventions portant sur les lésions de la face et de la mâchoire (chirurgie maxillo-faciale) ou des tumeurs vasculaires (touchant les vaisseaux) situées dans l'encéphale (à l'intérieur du crâne). L'hypotension contrôlée est mise en place pour éviter les hémorragies susceptibles d'avoir lieu au cours de l'intervention.

74. Neurologic Manifestations
Heart Medtronic, Inc. A Case of Spontaneous intracranial hypotension J Foreman - Baylor Coll. (US). Seizures Seizures - GMO
http://www.mic.ki.se/Diseases/c10.597.html
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Neurologic Manifestations
Patients and laypersons looking for guidance among the target sources of this collection of links are strongly advised to review the information retrieved with their professional health care provider.

75. Intracranial Pressure And Cerebral Blood Flow (page 4)
intracranial Pressure and Cerebral Blood Flow (Continued) brain injury is causedby ischaemia due to the combination of rapid brain swelling and hypotension.
http://www.nda.ox.ac.uk/wfsa/html/u08/u08_016.htm
Issue 8 (1998) Article 4: Page 4 of 4 Go to page: Intracranial Pressure and Cerebral Blood Flow (Continued)
Applied Physiology - Head Injury
Teaching Point.
In an article on the management and resuscitation of patients with serious head injuries Gentleman et al [ ] noted that over an 11 year period there was significant reduction in mortality, (45% to 32%) and an increase in patients making a good recovery, (42%-58%) associated with a reduction in hypoxaemia and hypotension during treatment. Hypotension must be treated aggressively with a rapid infusion of colloid or blood and if, necessary, intravenous (ephedrine 3-6 mg, methoxamine 1-3 mg).
References
  • Durward Q J et al. "Cerebral and cardiovascular responses to changes in head elevation in patients with intracranial hypertension." J.Neurosurgery
  • McGraw C P. "A cerebral perfusion pressure greater than 80 mmHg is more beneficial." Intracranial Pressure VII.
  • Rosner M J, Rosner S D & Johnson A H. "Cerebral perfusion: management protocol and clinical results." J.Neurosurgery
  • 76. Anesthesia For The Surgery Or Intracranial Aneurysms; Part IV
    Kinkor R, Warner DS, Unexpected myocardial ischemia during controlled hypotension. oftemporary arterial occlusion in the management of intracranial aneurysms.
    http://www.uam.es/departamentos/medicina/anesnet/journals/ija/vol2n4/articles/an
    Anesthesia for the Surgery of Intracranial Aneurysms, Part IV The correct citation of this article for reference is: . The Internet Journal of Anesthesiology 1998; Vol2N4: http://www.ispub.com/journals/IJA/Vol2N4/aneurysm.htm ; Published October 1, 1998; Last Updated October 1, 1998. Quick Links Special Techniques Problems during surgery References Special Techniques (Quick Links) The special techniques used to increase safety during clipping of an aneurysm and to reduce intraoperative cerebral damage by ischemia or hemorrhage are:
    • moderate hypothermia,
    • controlled hypotension,
    • temporary vascular occlusion,
    • induced hypertension,
    • circulatory arrest during deep hypothermia,
    • pharmacological cerebral protection.
    Induced hypotension and temporary vascular occlusion Both techniques are used in order to reduce the tension on the wall of the aneurysm thus decreasing the transmural pressure. This will facilitate its dissection and the application of the clip. Induced hypotension has been the state-of-the-art method to facilitate clipping of aneurysms. However, today induced hypotension is questioned by some authors with respect to temporary vascular occlusion . Induced hypotension produces hypoperfusion in the organs of those patients with altered cerebral circulation, coronary disease, anemia, severe hypovolemia and advanced age.

    77. Tetracyclines And Benign Intracranial Hypertension - A Headache Rare But Real
    Ramadan NM. Headache caused by raised intracranial pressure and intracranialhypotension. Curr Opin Neurol 1996; 9214218. Lee AG.
    http://www.medsafe.govt.nz/Profs/PUarticles/bih.htm
    Prescriber Update Articles
    Tetracyclines and Benign Intracranial Hypertension - a headache rare but real
    Web site: January 2001
    Prescriber Update No.21:33-36
    Helen Kingston, FRNZCGP, GP, Takaka Benign intracranial hypertension (BIH) is a rare but potentially serious condition. BIH has been documented in association with a variety of medicines, particularly the tetracyclines.
    A case has been reported to CARM of benign intracranial hypertension with minocycline, recurring on rechallenge.
    The common presenting feature of BIH is headache. The signs are papilloedema and sometimes sixth nerve palsy. Raised intracranial pressure confirms the diagnosis. If associated with a medicine, the condition may resolve totally on stopping it. Treatment includes therapeutic lumbar punctures and acetazolamide. Complications of BIH can be lasting visual defects or even blindness, so discontinue the medicine and refer promptly if suspected.
    Doctors should regularly enquire about headache when prescribing a tetracycline, even for a short period. The combination of a tetracycline and isotretinoin should be avoided.
    Case report: BIH recurred on rechallenge with minocycline
    BIH is associated with various medical conditions and medicines

    Benign intracranial hypertension presents with headache

    Papilloedema without lateralising signs is diagnostic
    ...
    References
    Case report: BIH recurred on rechallenge with minocycline BIH is associated with various medical conditions and medicines Benign intracranial hypertension (also known as pseudotumor cerebri, or idiopathic intracranial hypertension) is a rare condition of unknown cause with an annual incidence of 0.9/100,000 in the general population. It is likely that there is a genetic predisposition.

    78. Katalog - Wirtualna Polska
    Serwis Katalog w Wirtualna Polska S.A. pierwszy portal w Polsce.
    http://katalog.wp.pl/DMOZ/Health/Conditions_and_Diseases/Neurological_Disorders/
    Poczta Czat SMS Pomoc Szukaj.wp.pl: -Katalog -Polskie www -¦wiatowe www -Wirtualna Polska -FTP/Pliki -Grupy dyskusyjne -Encyklopedia -Produkty wp.pl Katalog Katalog ¦wiatowy DMOZ ... Neurological Disorders > Brain Diseases Fakty o Katalogu Pomoc Regulamin Serwis szukaj ... Ostatnio dodane
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    79. Ç—ጟ“¢@Ç—á”ԍ†‚Q‚Ì“š‚¦
    The summary for this Japanese page contains characters that cannot be correctly displayed in this language/character set.
    http://www.big.or.jp/~biwamr/case/02/answ000.htm
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    80. uŠ³ŽÒ‚³‚ñ‚́AÅ—ǂ̐搶Iv
    The summary for this Japanese page contains characters that cannot be correctly displayed in this language/character set.
    http://www.jichi.ac.jp/usr/ombr/case18.html
    "Patient is best teacher!"
    ‚±‚ê‚©‚çA–ˆŒŽ‚P‰ñ‚‚A–Ê”’‚¢Ç—áA‚ ‚Á‚ÆŽv‚¤Ç—áA’¿‚µ‚¢Ç—á‚È‚Ç‚ðo
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    iwasa-h@omiya.jichi.ac.jp
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