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NEUROLOGY 2003;61:1265-1267
© 2003 American Academy of Neurology
Brief Communications

Collapsed superior ophthalmic veins in patients with spontaneous intracranial hypotension

W.-T. Chen, MD, J.-L. Fuh, MD, J.-F. Lirng, MD, S.-R. Lu, MD, Z.-A. Wu, MD and S.-J. Wang, MD

From the Department of Internal Medicine (Dr. Chen), Chutung Veterans Hospital; the Neurological Institute (Drs. Fuh, Wu, and Wang) and Department of Radiology (Dr. Lirng), Taipei Veterans General Hospital; Department of Neurology (Dr. Lu), Kaohsiung Medical University; and Departments of Neurology (Drs. Chen, Fuh, Wu, and Wang) and Radiology (Dr. Lirng), National Yang-Ming University School of Medicine, Taipei, Taiwan.

Address correspondence and reprint requests to Dr. Shuu-Jiun Wang, The Neurological Institute, Taipei Veterans General Hospital, Taipei 112, Taiwan; e-mail: sjwang{at}vghtpe.gov.tw

The authors measured the average diameter of bilateral superior ophthalmic veins (SOV) in 13 patients with spontaneous intracranial hypotension (SIH) on contrast-enhanced, coronal, T1-weighted MRI. Compared with sex- and age-matched neurology inpatients with normal CSF pressure, the SIH group had a smaller SOV diameter (0.90 vs 1.85 mm, p < 0.001), which partly reversed after treatment (1.09 vs 0.90 mm, p = 0.045, n = 7). Collapsed SOV might provide an additional MRI finding for SIH.

Received May 15, 2003. Accepted in final form July 18, 2003.






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