Spontaneous intracranial hypotension (SIH): risk factors

Evidence-based neurology checklist on spontaneous intracranial hypotension (sih): risk factors: Connective tissue disorders FBN2 gene mutations: this encodes fibrillin Ehler’s Danlos syndrome (EDS) Adult polycystic kidney disease (APKD) Neurofibromatosis type 1 (NF1) Lehman syndrome (lateral…

Connective tissue disorders

  • FBN2 gene mutations: this encodes fibrillin
  • Ehler’s Danlos syndrome (EDS)
  • Adult polycystic kidney disease (APKD)
  • Neurofibromatosis type 1 (NF1)
  • Lehman syndrome (lateral meningocele)

Spontaneous CSF-venous fistulae

Possible risk factors

References

  1. Schievink WI. Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA 2006; 295:2286-2296.
  2. Parks CA, Singh M, Wohler E, et al. Spontaneous spinal CSF leaks: a rare variant exome sequencing study and functional analysis. Lancet Neurol 2026; 25:664-672.
  3. Kranz PG, Amrhein TJ, Gray L. CSF venous fistulas in spontaneous intracranial hypotension: imaging characteristics on dynamic and CT myelography. Am J Roentgenol 2017; 209:1360-1366. 
  4. Schievink WI, Moser FG, Maya MM, Prasad RS. Digital subtraction myelography for the identification of spontaneous spinal CSF-venous fistulas. J Neurosurg Spine 2016; 24:960-964. 
  5. Kranz PG, Amrhein TJ, Schievink WI, Karikari IO, Gray L. The "hyperdense paraspinal vein" sign: a marker of CSF-venous fistula. Am J Neuroradiol 2016; 37:1379-1381. 
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