Evidence map›Paper›PMID 30627240›Full record

ArticlePolish journal of radiology2018

Spontaneous intracranial hypotension: two steroid-responsive cases.

Camilla Russo, Vincenzo Buono, Giacomo Fenza, Alexis Zandolino, Antonietta Serino, Andrea Manto

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Polish journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.3field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Fluctuating hearing loss secondary to spontaneous intracranial hypotension: A case report and review of the literature.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Review
  2. Headache Management in the Neuroscience Intensive Care Unit.Current pain and headache reports · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Camilla RussoDepartment of Advanced Biomedical Sciences, University "Federico II", Naples, Italy.
Vincenzo BuonoDepartment of Neurosurgery, Umberto I Hospital, Salerno, Italy.
Giacomo FenzaDepartment of Neuroradiology, Umberto I Hospital, Salerno, Italy.
Alexis ZandolinoDepartment of Advanced Biomedical Sciences, University "Federico II", Naples, Italy.
Antonietta SerinoDepartment of Neuroradiology, Umberto I Hospital, Salerno, Italy.
Andrea MantoDepartment of Neuroradiology, Umberto I Hospital, Salerno, Italy.
Ospedali Riuniti Umberto I · ITFederico II University Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSpontaneous intracranial hypotension (SIH) is characterised by orthostatic headache, low cerebrospinal fluid pressure and diffuse pachymeningeal enhancement after intravenous gadolinium contrast administration. Magnetic resonance imaging (MRI) often plays a crucial role for correct diagnosis. CASE DESCRIPTION: We described two similar cases of SIH, whose clinical and imaging features are typical for this pathology. At MRI brain scan, both patients showed diffuse and intense pachymeningeal enhancement and moderate venous distension and epidural vein engorgement. The two patients were treated with bed rest and oral steroid therapy, with complete and long-lasting symptomatic relief.

conclusionsOrthostatic nature of headache is the most indicative clinical feature suggesting SIH; contrast-enhanced MRI provides definite imaging diagnostic findings. Conservative treatment coupled to steroid therapy is often sufficient to obtain complete disappearance of symptoms.

Indexed as

cerebrospinal fluid (CSF) pressuremyelopathyspontaneous intracranial hypotension (SIH)

Identifiers

PMID30627240
PMCPMC6323585
OpenAlexW2808066063

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.