Recommendations for the diagnosis and treatment of spontaneous intracranial hypotension
Spontaneous intracranial hypotension (SIH) is a syndrome characterized by disabling orthostatic headache, resulting from a reduction in volume of cerebrospinal fluid (CSF) likely caused by a CSF leak. It mainly affects women at working age and is probably underdiagnosed. This protocol aims to present a proposal for a practical approach to the diagnosis and treatment of SIH. After a descriptive section of the clinical manifestations of SIH, we present a step-by-step model of action to confirm its diagnosis and treatment, considering different clinical scenarios. The aim is, therefore, to facilitate clinical decision-making through a systematized and individualized approach, aiming to best interest of the patient.
Authors
- Luigi Cirillo (ORCID: https://orcid.org/0000-0002-0424-3400)
- Francesco Causin
- Alessandra Splendiani (ORCID: https://orcid.org/0000-0002-2188-3506)
- Elisa Ciceri (ORCID: https://orcid.org/0000-0002-6716-2923)
- Ferdinando Caranci (ORCID: https://orcid.org/0000-0003-4381-8323)
- Mauro Bergui (ORCID: https://orcid.org/0000-0002-5336-695X)
Institutions
- University of Padua (IT)
- University of L'Aquila (IT)
- Azienda Ospedaliera Citta' della Salute e della Scienza di Torino (IT)
- Ospedale Antonio Cardarelli (IT)
- Fatebenefratelli Hospital (IT)
- Department of Physiological Sciences (RU)
- Istituto delle Scienze Neurologiche di Bologna (IT)
- University of Campania "Luigi Vanvitelli" (IT)
- Azienda Ospedale - Università Padova (IT)
- Fondazione IRCCS Istituto Neurologico Carlo Besta (IT)
- University of Bologna (IT)
Publication Details
- Journal
- La radiologia medica
- Published
- 2025-10-30
- DOI
- https://doi.org/10.1007/s11547-025-02116-6
- Primary Topic
- Neurosurgical Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00