Guidelines for the Diagnosis and Treatment of Spontaneous Intracranial Hypotension

Authors

  • Maria João Pinto Serviço de Neurologia. Centro Hospitalar Universitário de São João. Porto; Departamento de Neurociências Clínicas e Saúde Mental. Faculdade de Medicina. Universidade do Porto. Porto. https://orcid.org/0000-0001-9133-4441
  • Luís Braz Serviço de Neurologia. Centro Hospitalar Universitário de São João. Porto; Departamento de Neurociências Clínicas e Saúde Mental. Faculdade de Medicina. Universidade do Porto. Porto. https://orcid.org/0000-0002-3312-4283
  • José Fonseca Serviço de Neurorradiologia. Centro Hospitalar Universitário de São João. Porto.
  • Paulo Pereira Departamento de Neurociências Clínicas e Saúde Mental. Faculdade de Medicina. Universidade do Porto. Porto; Serviço de Neurocirurgia. Centro Hospitalar Universitário de São João. Porto. https://orcid.org/0000-0001-6961-9213
  • Paula Trigo Barbosa Unidade de Dor Crónica. Serviço de Anestesiologia. Centro Hospitalar Universitário de São João. Porto. https://orcid.org/0000-0003-1956-3463
  • Armanda Gomes Unidade de Dor Crónica. Serviço de Anestesiologia. Centro Hospitalar Universitário de São João. Porto.
  • Joana Guimarães Serviço de Neurologia. Centro Hospitalar Universitário de São João. Porto; Departamento de Neurociências Clínicas e Saúde Mental. Faculdade de Medicina. Universidade do Porto. Porto. https://orcid.org/0000-0003-1540-1395

DOI:

https://doi.org/10.20344/amp.19432

Keywords:

Cerebrospinal Fluid Leak/diagnostic imaging, Intracranial Hypotension/diagnostic imaging, Intracranial Hypotension/therapy

Abstract

Spontaneous intracranial hypotension (SIH) is a syndrome characterized by disabling orthostatic headache, due to reduced cerebrospinal fluid (CSF) volume probably caused by a CSF fistula. It affects mostly women of working-age, although it is probably underdiagnosed. The aim of this article is to present a practical approach to the diagnosis and treatment of SIH. After a description of its symptoms and signs, we present a step-by-step approach to the confirmation of the diagnosis and treatment, considering different clinical scenarios. This is intended to guide clinical decision making, through a systematized and individualized management, aimed at the best interest of the patient.

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References

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Published

2023-05-02

How to Cite

1.
Pinto MJ, Braz L, Fonseca J, Pereira P, Trigo Barbosa P, Gomes A, Guimarães J. Guidelines for the Diagnosis and Treatment of Spontaneous Intracranial Hypotension. Acta Med Port [Internet]. 2023 May 2 [cited 2024 Mar. 5];36(5):363-7. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/19432

Issue

Section

Guidelines