Patients with chronic post‐dural puncture headache do not have typical imaging features of intracranial hypotension: An <scp>MRI</scp> study using the Bern score
Patients with chronic PDPH predominantly present a low Bern score and rarely exhibit spinal epidural fluid. If present, spinal epidural fluid is accompanied by higher Bern score. Our findings highlight the unreliability of current MRI diagnostics to detect patients with chronic PDPH, which must not lead to a mitigation of the diagnosis or a refusal of treatment. Further research on MRI markers is needed here.
Authors
- Horst Urbach (ORCID: https://orcid.org/0000-0001-7264-4807)
- Katharina Wolf (ORCID: https://orcid.org/0000-0003-1468-3634)
- Amir El Rahal (ORCID: https://orcid.org/0000-0002-8250-5883)
- Jürgen Beck (ORCID: https://orcid.org/0000-0002-7687-6098)
- Florian Volz (ORCID: https://orcid.org/0000-0001-7274-519X)
- Hansjörg Mast (ORCID: https://orcid.org/0009-0008-3744-7304)
- Niklas Lützen (ORCID: https://orcid.org/0000-0003-0555-7863)
- Christian Fung (ORCID: https://orcid.org/0000-0002-8709-5932)
- Alexander Rau (ORCID: https://orcid.org/0000-0001-5881-6043)
- Charlotte Zander (ORCID: https://orcid.org/0009-0009-5797-6825)
Institutions
- University of Freiburg (DE)
- Lindenhofspital (CH)
Publication Details
- Journal
- Headache The Journal of Head and Face Pain
- Published
- 2025-09-23
- DOI
- https://doi.org/10.1111/head.15057
- Primary Topic
- Neurosurgical Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00