Resolution of pachymeningeal enhancement is a radiographic marker for effective treatment of spontaneous intracranial hypotension: patient series

Diffuse pachymeningeal enhancement is a reliable marker for resolution SIH and often predates clinical resolution. Therefore, the authors propose that assessing for this characteristic with contrasted-brain MRI may assist in the posttreatment evaluation of patients with SIH. https://thejns.org/doi/10.3171/CASE25819.

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Publication Details

Journal
Journal of Neurosurgery Case Lessons
Published
2026-02-16
DOI
https://doi.org/10.3171/case25819
Primary Topic
Neurosurgical Procedures and Complications
Type
article
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article

Resolution of pachymeningeal enhancement is a radiographic marker for effective treatment of spontaneous intracranial hypotension: patient series

Elie Massaad, Aaron B. Paul, Bart K. Chwalisz, Gabriel Friedman et al.
Journal of Neurosurgery Case Lessons
Neurosurgical Procedures and Complications
article

Resolution of pachymeningeal enhancement is a radiographic marker for effective treatment of spontaneous intracranial hypotension: patient series

Elie Massaad, Aaron B. Paul, Bart K. Chwalisz, Gabriel Friedman, Edwin Owolo, Lawrence F. Borges, Ganesh M. Shankar, Jean Valery Coumans, N. Madan, Eric Esposito, Kathleen M Lavoie
article en

Abstract

Diffuse pachymeningeal enhancement is a reliable marker for resolution SIH and often predates clinical resolution. Therefore, the authors propose that assessing for this characteristic with contrasted-brain MRI may assist in the posttreatment evaluation of patients with SIH. https://thejns.org/doi/10.3171/CASE25819.

Journal of Neurosurgery Case LessonsVol. 11(7)
Mass General Brigham (US)
Good health and well-being
Openalex Percentile: Top 56%
Neurosurgical Procedures and Complications
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