Pediatric Spontaneous Intracranial Hypotension

• Etiology:
  — Spinal cerebrospinal fluid leak (root cysts or dural hole or dural tear or bony abnormality or nude nerve root)
  — Inadequate cerebrospinal fluid production
  — Rapid cerebrospinal fluid absorption
  — Never caused by cerebrospinal fluid rhinorrhea-otorrhea
• Imaging: SEEPS
  — Subdural fluid collection
  — Enhancement of meninges
  — Engorgement of veins
  — Pituitary hyperemia
  — Sagging of brain
• DDX:
• Complications:
• Treatment: For cerebrospinal fluid leak epidural blood patching more common than glue which is more common than surgery
• Clinical:
  — Uncommon but not rare
  — Presents with headaches

Radiology Cases of Spontaneous Intracranial Hypotension