Sacral Dural Tears in Spontaneous Intracranial Hypotension: Imaging Phenotype and Treatment Outcomes in a Multicenter Cohort
Epidural patching outcomes in sacral dural tears causing SIH are driven primarily by baseline imaging phenotype, disease stage, and intracranial imaging response rather than procedural technique. These findings support a morphology- and chronicity-aware approach to diagnosis and treatment and suggest that sacral dural tears represent a distinct SIH subtype with outcome patterns similar to other leak mechanisms.
Authors
- Ian T. Mark (ORCID: https://orcid.org/0000-0002-4036-2992)
- T Dobrocky
- Debayan Bhaumik (ORCID: https://orcid.org/0000-0002-9324-9256)
- Peter Lennarson (ORCID: https://orcid.org/0009-0001-5953-6446)
- Enrique A. Barvulsky
- Mark Daniel Mamlouk (ORCID: https://orcid.org/0000-0002-6689-8912)
- Timothy J. Amrhein (ORCID: https://orcid.org/0000-0002-9354-9486)
- Andre E. Boyke (ORCID: https://orcid.org/0000-0002-7485-0644)
- Daniel Montes (ORCID: https://orcid.org/0000-0002-5933-9397)
- Federico Cagnazzo
- Ajay Madhavan
- Katharina Wolf
- Wouter Schievink
- Peter G. Kranz
- Florian Volz
- Niklas Lützen
- Andrew L. Callen
- Horst Urbach
- Lalani Carlton Jones
- Eike I. Piechowiak
- Jürgen Beck
- Marcel Maya
Institutions
- University of Colorado Anschutz Medical Campus (US)
Publication Details
- Journal
- American Journal of Neuroradiology
- Published
- 2026-03-16
- DOI
- https://doi.org/10.3174/ajnr.a9297
- Primary Topic
- Neurosurgical Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00