التفاصيل البيبلوغرافية
| العنوان: |
Recovery and long-term outcome after neurosurgical closure of spinal CSF leaks in patients with spontaneous intracranial hypotension. |
| المؤلفون: |
Volz, Florian1 (AUTHOR), Fung, Christian1 (AUTHOR), Wolf, Katharina1 (AUTHOR), Lützen, Niklas2 (AUTHOR), Urbach, Horst2 (AUTHOR), Kraus, Luisa Mona1 (AUTHOR), Omer, Mazin1 (AUTHOR), Beck, Jürgen1 (AUTHOR) j.beck@uniklinik-freiburg.de, El Rahal, Amir1,3 (AUTHOR) |
| المصدر: |
Cephalalgia. Aug2023, Vol. 43 Issue 8, p1-8. 8p. |
| مصطلحات موضوعية: |
*MYELOGRAPHY, *CEREBROSPINAL fluid leak, *HYPOTENSION, *CEREBROSPINAL fluid |
| مستخلص: |
Introduction: Spontaneous intracranial hypotension due to a spinal cerebrospinal fluid leak causes orthostatic headaches and impacts quality of life. Successful closure rates are often reported, whereas data on long-term outcome are still scarce. Methods: Between April 2020 and December 2022 surgically treated patients completed the Headache Impact Test-6 prior to surgery and at 14 days, three months, six months, and 12 months postoperatively. In addition to the Headache Impact Test-6 score, we extracted data related to orthostatic symptoms. Results: Eighty patients were included. Median Headache Impact Test-6 score preoperatively was 65 (IQR 61–69), indicating severe and disabling impact of headaches. At three months headache impact significantly improved to 49 (IQR 44–58) (p < 0.001) and remained stable up to 12 months (48, IQR 40–56), indicating little to no impact of headaches on quality of life. The need to lie down "always" or "very often" was reduced from 79% to 23% three months postoperatively (p < 0.001). Conclusions: Surgical closure of spinal CSF leaks significantly improves the impact of headaches in the long term. At least three months should be expected for recovery. Despite permanent closure of the CSF-leak, a quarter of patients still have relevant long-term impairment, indicating the need for further research on its cause and possible treatment. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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