Research Topics
Species | W I SchievinkSummaryAffiliation: Cedars-Sinai Medical Center Country: USA Publications
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Publications
Spontaneous spinal cerebrospinal fluid leaks and minor skeletal features of Marfan syndrome: a microfibrillopathyIris Schrijver
Howard Hughes Medical Institute and Department of Genetics, Stanford University School of Medicine, California, USA
J Neurosurg 96:483-9. 2002..In addition, the authors identified a connective-tissue etiological factor in a group of disorders not previously classified as such...- Spectrum of subdural fluid collections in spontaneous intracranial hypotensionWouter I Schievink
Maxine Dunitz Neurosurgical Institute, Imaging Medical Group, Cedars Sinai Medical Center, Los Angeles, California 90048, USA
J Neurosurg 103:608-13. 2005..The authors therefore reviewed their experience with subdural fluid collections in 40 consecutive patients with spontaneous spinal cerebrospinal fluid (CSF) leaks and intracranial hypotension... - Epidemiology of cervical artery dissectionWouter I Schievink
Maxine Dunitz Neurosurgical Institute and Department of Neurology, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
Front Neurol Neurosci 20:12-5. 2005..The incidence of spontaneous CAD is approximately 5 per 100,000 per year and is highest in autumn. The long-term recurrence rate is only approximately 1% per year, but it is higher in patients with familial arterial disease... - Reversal of coma with an injection of glueWouter I Schievink
Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA
Lancet 369:1402. 2007 
Stroke and death due to spontaneous intracranial hypotensionWouter I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, 8631 W Third St, Ste 800E, Los Angeles, CA 90048, USA
Neurocrit Care 18:248-51. 2013..I now report two patients with spontaneous intracranial hypotension who developed multiple arterial strokes associated with death in one patient, illustrating the spectrum of disease severity in spontaneous intracranial hypotension...- Ventral spinal cerebrospinal fluid leak as the cause of persistent post-dural puncture headache in childrenWouter I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
J Neurosurg Pediatr 11:48-51. 2013..They note that the CSF leak may be located ventrally and may require conventional or digital subtraction myelography for exact localization and that transdural repair is safe and effective in eliminating the headaches... - Spinal manifestations of spontaneous intracranial hypotensionWouter I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
J Neurosurg Spine 18:96-101. 2013..The goal of the study was to elucidate the spinal manifestations of spontaneous intracranial hypotension... - Spontaneous intracranial hypotension in patients with bicuspid aortic valveWouter I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles, California, USA
J Heart Valve Dis 21:714-7. 2012..The study aim was to assess the frequency of BAV among patients with spontaneous intracranial hypotension... - Lack of causal association between spontaneous intracranial hypotension and cranial cerebrospinal fluid leaksWouter I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles, CA, USA
J Neurosurg 116:749-54. 2012..The authors' aim was to examine the frequency of skull base CSF leaks as the cause of spontaneous intracranial hypotension... - Spontaneous spinal cerebrospinal fluid leaks as the cause of subdural hematomas in elderly patients on anticoagulationWouter I Schievink
Department of Neurosurgery, The Maxine Dunitz Neurosurgical Institute, Cedars Sinai Medical Center, Los Angeles, California 90048, USA
J Neurosurg 112:295-9. 2010..The presence of an underlying spontaneous spinal CSF leak should be considered in patients with chronic SDHs, even among the elderly taking anticoagulants... 
Frequency of spontaneous intracranial hypotension in the emergency departmentWouter I Schievink
Department of Neurosurgery, The Maxine Dunitz Neurosurgical Institute, Cedars Sinai Medical Center, 8631 West Third Street, Suite 800E, Los Angeles, CA 90048, USA
J Headache Pain 8:325-8. 2007..During the same time period, 23 patients with aneurysmal SAH were evaluated. Spontaneous intracranial hypotension is more common than previously appreciated and the diagnosis in the ED remains problematic...- Anaphylactic reactions to fibrin sealant injection for spontaneous spinal CSF leaksW I Schievink
The Maxine Dunitz Neurosurgical Institute, Cedars-Sinai Medical Center, 8631 West Third Street, Suite 800E, Los Angeles, CA 90048, USA
Neurology 70:885-7. 2008 - Precipitating factors of spontaneous spinal CSF leaks and intracranial hypotensionWouter I Schievink
Departments of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA
Neurology 69:700-2. 2007 - Quadriplegia and cerebellar hemorrhage in spontaneous intracranial hypotensionWouter I Schievink
Maxine Dunitz Neurosurgical Institute, Cedars-Sinai Medical Center, 8631 W. Third St, Suite 800E, Los Angeles, CA 90048, USA
Neurology 66:1777-8. 2006 - Diagnostic criteria for spontaneous spinal CSF leaks and intracranial hypotensionW I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
AJNR Am J Neuroradiol 29:853-6. 2008..Comprehensive diagnostic criteria encompassing the varied clinical and radiographic manifestations of spontaneous intracranial hypotension are not available. Therefore, we propose a new set of diagnostic criteria... - Absence of TGFBR2 mutations in patients with spontaneous spinal CSF leaks and intracranial hypotensionWouter I Schievink
Department of Neurosurgery, The Maxine Dunitz Neurosurgical Institute, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
J Headache Pain 9:99-102. 2008..The mean age of these 7 women and 1 man was 38 years (range 14-60 years). We detected no TGFBR2 mutations and conclude that TGFBR2 mutations are not a major factor in spontaneous spinal CSF leaks... - Spontaneous spinal cerebrospinal fluid leak as a cause of coma after craniotomy for clipping of an unruptured intracranial aneurysmWouter I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, The Maxine Dunitz Neurosurgical Institute, Los Angeles, California 90048, USA
J Neurosurg 110:521-4. 2009..Neurological deterioration after craniotomy may be caused by brain sagging caused by a spontaneous spinal CSF leak, similar to intracranial hypotension due to intraoperative lumbar CSF drainage... - Spontaneous spinal cerebrospinal fluid leaksW I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
Cephalalgia 28:1345-56. 2008..Treatment consists of bedrest, abdominal binder, epidural blood patching, percutaneous fibrin glue injection or surgical CSF leak repair. Outcomes have been poorly studied... - Screening for intracranial aneurysms in patients with bicuspid aortic valveWouter I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, 8631 Third Street, Suite 800E, Los Angeles, CA 90048, USA
Neurology 74:1430-3. 2010..A generalized connective tissue disorder also involving the intracranial arteries has been suspected in this patient population. We therefore screened a group of patients with BAV for the presence of intracranial aneurysms... - Frequency of intracranial aneurysms in patients with spontaneous intracranial hypotensionWouter I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, 8631 West Third Street, Suite 800E, Los Angeles, California 90048, USA
J Neurosurg 115:113-5. 2011..Therefore, the authors reviewed angiographic studies for the presence of intracranial aneurysms in a group of patients with SIH... - Diagnostic criteria for headache due to spontaneous intracranial hypotension: a perspectiveWouter I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
Headache 51:1442-4. 2011.... - Chronic cerebellar hemorrhage in spontaneous intracranial hypotension: association with ventral spinal cerebrospinal fluid leaks: clinical articleWouter I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles, California, USA
J Neurosurg Spine 15:433-40. 2011..The authors reviewed the MR imaging studies from a group of patients with spontaneous intracranial hypotension to assess the presence of cerebellar hemorrhage... - Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotensionWouter I Schievink
Maxine Dunitz Neurosurgical Institute, Cedars Sinai Medical Center, Los Angeles, Calif 90048, USA
JAMA 295:2286-96. 2006..It is an important cause of new headaches in young and middle-aged individuals, but initial misdiagnosis is common... - Pseudo-subarachnoid hemorrhage: a CT-finding in spontaneous intracranial hypotensionWouter I Schievink
Maxine Dunitz Neurosurgical Institute, Cedars Sinai Medical Center, 8631 West Third Street, Suite 800E, Los Angeles, CA 90048, USA
Neurology 65:135-7. 2005..All four patients had brain sagging with obliteration of the cisterns and pachymeningeal enhancement along the tentorium cerebelli. Spontaneous intracranial hypotension should be included in the differential diagnosis of pseudo-SAH... - Superficial temporal artery to middle cerebral artery bypass and external carotid reconstruction for carotid restenosis after angioplasty and stent placementW I Schievink
Department of Neurological Surgery, Cedars Sinai Neurosurgical Institute, Los Angeles, Calif 90048, USA
Mayo Clin Proc 75:1087-90. 2000..Also, external carotid artery reconstruction at the site of an internal carotid artery stent can be performed safely... - Origin of pretruncal nonaneurysmal subarachnoid hemorrhage: ruptured vein, perforating artery, or intramural hematoma?W I Schievink
Cedars Sinai Neurosurgical Institute, Los Angeles, Calif 90048, USA
Mayo Clin Proc 75:1169-73. 2000.... - The treatment of spontaneous carotid and vertebral artery dissectionsW I Schievink
Cedars Sinai Neurosurgical Institute, Los Angeles, California, USA
Curr Opin Cardiol 15:316-21. 2000.... - Spontaneous retroclival hematoma presenting as a thunderclap headache. Case reportW I Schievink
Maxine Dunitz Neurosurgical Institute and Imaging Medical Group, Cedars Sinai Medical Center, Los Angeles, California 90048, USA
J Neurosurg 95:522-4. 2001..Spontaneous retroclival hematoma should be included in the differential diagnosis of thunderclap headache... - Intracranial aneurysm surgery in Ehlers-Danlos syndrome Type IVWouter I Schievink
Maxine Dunitz Neurosurgical Institute, Cedars Sinai Medical Center, Los Angeles, California 90048, USA
Neurosurgery 51:607-11; discussion 611-3. 2002..This syndrome is rare, however, and the complication rate of aneurysm surgery may have been overestimated... - A syndrome of spontaneous cerebral and cervical artery dissections with angiolipomatosis. Report of two casesWouter I Schievink
Maxine Dunitz Neurosurgical Institute and Department of Pathology, Cedars Sinai Medical Center, Los Angeles, California 90048, USA
J Neurosurg 98:1124-7. 2003..These associations indicate that a neural crest disorder may be the underlying abnormality in these patients... - Recurrent spontaneous spinal cerebrospinal fluid leak associated with "nude nerve root" syndrome: case reportWouter I Schievink
Maxine Dunitz Neurosurgical Institute, Cedars Sinai Medical Center, Los Angeles, California 90048, USA
Neurosurgery 53:1216-8; discussion 1218-9. 2003..We describe a patient with a recurrent CSF leak who was found at surgery to have an absence of the entire nerve root sleeve at multiple thoracic levels... - Recurrent spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension: a prospective studyWouter I Schievink
Maxine Dunitz Neurosurgical Institute, Imaging Medical Group, Cedars Sinai Medical Center, Los Angeles, California 90048, USA
J Neurosurg 99:840-2. 2003..The authors undertook a study to determine the risk of a recurrent spontaneous spinal CSF leak... - Connective tissue disorders with spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension: a prospective studyWouter I Schievink
Maxine Dunitz Neurosurgical Institute, Cedars Sinai Medical Center, Los Angeles, California 90048, USA
Neurosurgery 54:65-70; discussion 70-1. 2004..We undertook a study to estimate the contribution of systemic connective tissue disorders to the development of spontaneous spinal CSF leaks... - Intracranial hypotension without meningeal enhancement on magnetic resonance imaging. Case reportW I Schievink
Neurosurgical Institute and Imaging Medical Group, Cedars Sinai Medical Center, Los Angeles, California 90048, USA
J Neurosurg 92:475-7. 2000..The patient recovered well from the surgery, with complete resolution of his headaches. The absence of meningeal enhancement on MR imaging does not exclude a diagnosis of symptomatic intracranial hypotension... - Cranial MRI predicts outcome of spontaneous intracranial hypotensionWouter I Schievink
Maxine Dunitz Neurosurgical Institute, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
Neurology 64:1282-4. 2005..00004). These findings show that normal initial MRI is predictive of poor outcome in spontaneous intracranial hypotension... - Frequency of incidental intracranial aneurysms in neurofibromatosis type 1Wouter I Schievink
Maxine Dunitz Neurosurgical Institute, Cedars Sinai Medical Center, Los Angeles, California 90048, USA
Am J Med Genet A 134:45-8. 2005..Our study suggests that patients with NF1 are at an increased risk of developing intracranial aneurysms... - Racial disparities in subarachnoid hemorrhage mortality: Los Angeles County, California, 1985-1998Wouter I Schievink
Maxine Dunitz Neurosurgical Institute, Cedars Sinai Medical Center, Los Angeles, Calif 90048, USA
Neuroepidemiology 23:299-305. 2004..5 per 100,000). An inverse relationship was observed between income and SAH mortality rates in all racial groups except whites... - Treatment of spontaneous intracranial hypotension with percutaneous placement of a fibrin sealant. Report of four casesWouter I Schievink
Maxine Dunitz Neurosurgical Institute and Imaging Medical Group, Cedars Sinai Medical Center, Los Angeles, California 90048, USA
J Neurosurg 100:1098-100. 2004..Percutaneous placement of a fibrin sealant is a safe, minimally invasive treatment for spontaneous spinal CSF leaks and should be considered in patients in whom conservative treatment has failed... - False localizing sign of C1-2 cerebrospinal fluid leak in spontaneous intracranial hypotensionWouter I Schievink
Maxine Dunitz Neurosurgical Institute and Imaging Medical Group, Cedars Sinai Medical Center, Los Angeles, California 90048, USA
J Neurosurg 100:639-44. 2004..Retrospinal C1-2 fluid collections may be noted on spinal imaging and these are generally believed to correspond to the site of the CSF leak. The authors undertook a study to determine the significance of these C1-2 fluid collections... - Cerebral venous thrombosis in spontaneous intracranial hypotensionWouter I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
Headache 48:1511-9. 2008..We reviewed our experience with spontaneous intracranial hypotension and cerebral venous thrombosis and we reviewed the relevant literature to evaluate the relationship between these 2 entities... - Spontaneous intracranial hypotension mimicking aneurysmal subarachnoid hemorrhageW I Schievink
Cedars Sinai Neurosurgical Institute, Los Angeles, California 90048, USA
Neurosurgery 48:513-6; discussion 516-7. 2001..We report a group of patients with thunderclap headaches as the initial manifestation of spontaneous intracranial hypotension caused by a spinal cerebrospinal fluid leak... - Misdiagnosis of spontaneous intracranial hypotensionWouter I Schievink
Maxine Dunitz Neurosurgical Institute, Cedars Sinai Medical Center, Los Angeles, Calif 90048, USA
Arch Neurol 60:1713-8. 2003..Spontaneous intracranial hypotension is an important cause of "new daily persistent headaches" but is not a well-recognized entity. The misdiagnosis of spontaneous intracranial hypotension can have serious consequences... - Filum ependymoma mimicking spontaneous intracranial hypotensionWouter I Schievink
Maxine Dunitz Neurosurgical Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA
Headache 45:607-9. 2005..The combination of spontaneous orthostatic headaches and a "dry tap" at the time of lumbar puncture does not always indicate the presence of a spontaneous cerebrospinal fluid (CSF) leak and intracranial hypotension... - Upright MRI in spontaneous spinal cerebrospinal fluid leaks and intracranial hypotensionWouter I Schievink
The Maxine Dunitz Neurosurgical Institute, Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles, CA 90048, USA
Headache 47:1345-6. 2007..We investigated the utility of upright MRI of the brain in 6 patients with spontaneous intracranial hypotension. No discernable differences were noted between the supine and upright images... - A novel technique for treatment of intractable spontaneous intracranial hypotension: lumbar dural reduction surgeryWouter I Schievink
Department of Neurosurgery, Cedars Sinai Medical Center, 8631 West Third Street, Suite 800E, Los Angeles, CA 90048, USA
Headache 49:1047-51. 2009..The author describes a novel surgical technique to treat intractable spontaneous intracranial hypotension... - Development of an intracranial ependymoma at the site of a pre-existing cavernous malformationMoneeb Ehtesham
Maxine Dunitz Neurosurgical Institute, Suite 800E, 8631 West 3rd Street, Los Angeles, CA 90048, USA
Surg Neurol 60:80-2; discussion 83. 2003..CONCLUSIONS: Based on these findings, we suggest that production of VEGF by vascular malformations may play a role in the neoplastic transformation of adjacent tissue... - Reversible cerebral vasoconstriction in spontaneous intracranial hypotensionWouter I Schievink
Headache 47:284-7. 2007..Spontaneous intracranial hypotension should be considered in the differential diagnosis of reversible cerebral vasoconstriction...