Spontaneous intracranial hypotension (SIH) is a serious medical condition caused by loss of cerebrospinal fluid at the level of the spine, which, when not treated, may cause substantial long-term disability and increase morbidity. The following video summarizes the necessary steps for successful diagnosis and treatment of SIH, starting with a brain and spine magnetic resonance imaging, followed by dynamic myelography. Because an epidural bloodpatch did not provide a lasting relief, the patient underwent surgery which demonstrated a ventral dural slit caused by an osteodiscogenic microspur. In the 1-month follow up, the patient was symptom free. This video is meant to raise awareness of SIH among clinicians in order to increase general sensitivity for this diagnosis.

中文翻译：

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自发性低颅压的诊断和手术治疗。

自发性颅内低血压 (SIH) 是一种由脊柱水平脑脊液流失引起的严重疾病，如果不及时治疗，可能会导致严重的长期残疾并增加发病率。以下视频总结了成功诊断和治疗 SIH 的必要步骤，首先进行脑部和脊柱磁共振成像，然后进行动态脊髓造影。由于硬膜外血贴不能提供持久的缓解，患者接受了手术，结果发现腹侧硬脑膜裂口是由骨盘源性微刺引起的。在1个月的随访中，患者没有出现任何症状。该视频旨在提高临床医生对 SIH 的认识，以提高对该诊断的总体敏感性。