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Spontaneous intracranial hypotension (SIH) refers to lower than normal CSF volume due to a leak of CSF at the level of the spine. [18] Spontaneous intracranial hypotension (SIH) is an important cause of longstanding headaches. Other symptoms can include nausea, blurred vision, coma, and dementia.
The coccyx is located at the base of the spine, under the sacrum. It is the last section of the ape vertebral column . Most commonly in humans it comprises 3 to 5 fused (or, more rarely, separate) vertebrae , and is approximately 4 to 10 cm in length.
The conus medullaris (Latin for "medullary cone") or conus terminalis is the tapered, lower end of the spinal cord. It occurs near lumbar vertebral levels 1 (L1) and 2 (L2), occasionally lower. [1] [2] The upper end of the conus medullaris is usually not well defined, however, its corresponding spinal cord segments are usually S1–S5.
It can cause low back pain, weakness or paralysis in the lower limbs, loss of sensation, bowel and bladder dysfunction, and loss of reflexes. [39] There may be bilateral sciatica with central disc prolapse and altered gait. [38] Unlike conus medullaris syndrome, symptoms often occur only on one side of the body. [37]
Moderate-to-severe cases can cause radicular pain in the legs caused by nerve root compression. [5] The symptoms are usually exacerbated by upright posture and often, but not always, relieved by lying down. Postural headaches can be related to spontaneous spinal cerebrospinal fluid leaks. [6] However, in many patients, dural ectasia is ...
Symptoms of the condition include lower back pain, back stiffness, numbness or weakness in the feet, difficulty walking or standing for longer than a few minutes at a time, and sciatica (leg pain).
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