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Patient series shows that pachymeningeal enhancement predicts treatment effectiveness in spontaneous intracranial hypotension, suggesting improved evaluation methods.
Diffuse pachymeningeal enhancement is a reliable marker for resolution SIH and often predates clinical resolution. Therefore, the authors propose that assessing for this characteristic with contrasted-brain MRI may assist in the posttreatment evaluation of patients with SIH. https://thejns.org/doi/10.3171/CASE25819.
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Esposito et al. (2026) studied this question.
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