ojrdrtОнкологический журнал: лучевая диагностика, лучевая терапияJournal of oncology: diagnostic radiology and radiotherapy2587-75932713-167XНЕКОММЕРЧЕСКОЕ ПАРТНЕРСТВО «ОБЩЕСТВО ИНТЕРВЕНЦИОННЫХ ОНКОРАДИОЛОГОВ»10.37174/2587-7593-2021-4-3-88-93ojrdrt-197Research ArticleКЛИНИЧЕСКИЕ СЛУЧАИCLINICAL CASESМРТ в диагностике синдрома внутричерепной гипотензии. Клиническое наблюдениеMRI Diagnostics of Intracranial hypotension Syndrome on the Example of Clinical Observationhttps://orcid.org/0000-0001-6327-3258ФедотовА. Н.FedotovA. N.

клинический ординатор, кафедра рентгенологии и радиологии,

125993 Москва, ул. Баррикадная, 2/1, стр. 1

Build.1, 2/1 Barrikadnaya St., Moscow, 125993

Wolvervilla@mail.ruhttps://orcid.org/0000-0003-0431-2610СашинД. В.SashinD. V.

врач‑рентгенолог, научный сотрудник рентгенодиагностического отделения,

115478 Москва, Каширское шоссе, 24

24 Kashirskoye Highway, Moscow 115478

https://orcid.org/0000-0003-1632-351XПронинА. И.ProninA. I.

кандидат медицинских наук, врач-радиолог, заведующий отделением позитронной эмиссионной томографии,

115478 Москва, Каширское шоссе, 24

24 Kashirskoye Highway, Moscow 115478

https://orcid.org/0000-0003-4951-3053СеменоваА. А.SemenovaA. A.

 кандидат медицинских наук, cтарший научный сотрудник отделения химиотерапии гемобластозов,

115478 Москва, Каширское шоссе, 24

24 Kashirskoye Highway, Moscow 115478

https://orcid.org/0000-0001-8347-1243КобяковаЕ. А.KobyakovaE. A.

главный врач НИИ КиЭР, научный сотрудник рентгенодиагностического отделения,

115478 Москва, Каширское шоссе, 24

24 Kashirskoye Highway, Moscow 115478

https://orcid.org/0000-0002-3036-2753ГаранинаН. В.GaraninaN. V.

врач-рентгенолог,

115478 Москва, Каширское шоссе, 24

24 Kashirskoye Highway, Moscow 115478

Российская медицинская академия непрерывного профессионального образования Минздрава РоссииРоссияRussian Medical Academy of Postgraduate EducationRussian FederationНациональный медицинский исследовательский центр онкологии им. Н.Н. Блохина Минздрава РоссииРоссияN.N. Blokhin National Medical Research Center of OncologyRussian Federation202101102021438893Copyright © Федотов А.Н., Сашин Д.В., Пронин А.И., Семенова А.А., Кобякова Е.А., Гаранина Н.В., 20212021Федотов А.Н., Сашин Д.В., Пронин А.И., Семенова А.А., Кобякова Е.А., Гаранина Н.В.Fedotov A.N., Sashin D.V., Pronin A.I., Semenova A.A., Kobyakova E.A., Garanina N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.oncoradjournal.ru/jour/article/view/197

Внутричерепная гипотензия (ВГ) — это клинико-рентгенологический синдром, проявляющийся снижением объема или давления ликвора, вызванный различными причинами. Одним из основных клинических проявлений синдрома являются ортостатические головные боли, а «золотым стандартом» лучевой диагностики считется магнитно-резонансная томография (МРТ). Повышение информированности врачей-рентгенологов о данной патологии позволит чаще диагностировать ВГ и своевременно реагировать, определяя дальнейшую тактику ведения пациента.

В настоящей публикации представлено собственное клиническое наблюдение пациента с развившимся синдромом внутричерепной гипотензии, МРТ-картина и спектр клинических проявлений, приведены основные данные об этиологии и патогенетических механизмах описываемого патологического процесса. 

Intracranial hypotension is a clinical and radiological syndrome, manifested by a decrease in the volume or pressure of the cerebrospinal fluid caused by various reasons, one of the main clinical manifestations of which are orthostatic headaches. The gold standard in the radiation diagnosis of this condition is magnetic resonance imaging (MRI). Increasing the awareness of radiologists about this pathology, its manifestations on MRI, will allow more often to diagnose this syndrome and choose the tactics of further treatment. This publication presents its own clinical observation — a patient with intracranial hypotension syndrome, on his example, MR and clinical manifestations are considered, and some data on the etiology and pathogenetic mechanisms of the described pathological process are also given. 

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The authors declare that there are no conflicts of interest present.