Abstract
We read with interest the paper by Schievink et al,[1][1] in which the authors report a new set of diagnostic criteria for spontaneous spinal CSF leaks and intracranial hypotension encompassing its varied clinical and radiographic manifestations. It has become well established that the clinical
Highlights
It has become well established that the clinical spectrum of spontaneous intracranial hypotension (SIH) is unusually varied.[2]
Spinal meningeal diverticulum is considered the main criterion in B and C
This criterion describes whether there is a meningeal diverticulum but does not describe any details about the characteristics of a meningeal diverticulum. We believe that it may cause confusion because we have noticed many patients having small diverticulum without SIH, especially in the lower dorsal and upper lumbar regions. Considering this observation, we think that the criteria should include details about a meningeal diverticulum such as its location, morphologic features, size, and the number of diverticula
Summary
It has become well established that the clinical spectrum of spontaneous intracranial hypotension (SIH) is unusually varied.[2]. Dr Schievink and coauthors defined 3 main criteria as A, B, and C.
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