Spontaneous intracranial hypotension (SIH): Bern MRI scoring system

Evidence-based neurology checklist on spontaneous intracranial hypotension (sih): bern mri scoring system: Major items: 2 points each Pachymeningeal enhancement Engorged venous sinuses Effacement of suprasellar cistern ≤ 4.0 mm Minor items: 1 point each Probability score for spinal leak

Major items: 2 points each

  • Pachymeningeal enhancement
  • Engorged venous sinuses
  • Effacement of suprasellar cistern ≤ 4.0 mm  

Minor items: 1 point each

Probability score for spinal leak

References

  1. Dobrocky T, Grunder L, Breiding PS, et al. Assessing spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension with a scoring system based on brain magnetic resonance imaging findings. JAMA Neurol 2019; 76:580-587.

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