Consensus Guidelines on Diagnostic Brain and Spine Imaging of Spontaneous Intracranial Hypotension
Diagnostic imaging of the brain and spine in spontaneous intracranial hypotension (SIH) has evolved rapidly in the past several years, presenting challenges for practitioners seeking to stay current on the optimal methods for investigating and localizing spinal CSF leaks. We established a Guidelines Working Group with representation from experts in diagnostic imaging as well as external experts in the clinical management of SIH. Recommendations and statements addressing the selection and performance of diagnostic imaging in patients with known or suspected SIH were developed by using a modified Delphi process. The intent was to provide guidance across a variety of practice settings in North American health care systems to implement current best practices in the diagnostic evaluation of SIH.
Authors
- Franklin G. Moser (ORCID: https://orcid.org/0000-0001-5267-2667)
- Simy Parikh (ORCID: https://orcid.org/0000-0001-9877-6787)
- Ian T. Mark (ORCID: https://orcid.org/0000-0002-4036-2992)
- Ashesh A. Thaker (ORCID: https://orcid.org/0000-0001-5238-0429)
- Deborah I. Friedman (ORCID: https://orcid.org/0000-0002-6652-6158)
- Vance T. Lehman (ORCID: https://orcid.org/0000-0002-8713-8293)
- Ajay A. Madhavan (ORCID: https://orcid.org/0000-0003-1794-4502)
- Andrew L. Callen (ORCID: https://orcid.org/0000-0003-2315-7767)
- Mark Daniel Mamlouk (ORCID: https://orcid.org/0000-0002-6689-8912)
- Jeremy K. Cutsforth‐Gregory (ORCID: https://orcid.org/0000-0002-5689-4424)
- Marcel Maya (ORCID: https://orcid.org/0000-0003-4097-8639)
- Ian Richard Carroll (ORCID: https://orcid.org/0000-0002-4777-4834)
- Waleed Brinjikji (ORCID: https://orcid.org/0000-0001-5271-5524)
- John E. Jordan (ORCID: https://orcid.org/0000-0002-5779-7538)
- Joseph Levi Chazen (ORCID: https://orcid.org/0000-0002-6146-2191)
- Vinil N. Shah (ORCID: https://orcid.org/0000-0003-0803-5067)
- Timothy J. Amrhein (ORCID: https://orcid.org/0000-0002-9354-9486)
- Troy A. Hutchins (ORCID: https://orcid.org/0000-0002-1329-4402)
- Peter George Kranz (ORCID: https://orcid.org/0000-0001-5410-7135)
- Wouter I. Schievink (ORCID: https://orcid.org/0000-0001-5494-0688)
Institutions
- Hospital for Special Surgery (US)
- Cedars-Sinai Medical Center (US)
- Emory Healthcare (US)
- Mayo Clinic (US)
- Duke University (US)
- Palo Alto University (US)
- University of California, San Francisco (US)
- Cornell University (US)
- University of Utah (US)
- Denver Health Medical Center (US)
- University of California System (US)
- Mayo Clinic in Arizona (US)
- Duke Medical Center (US)
- Little Company of Mary Hospital (US)
- Kaiser Permanente Santa Clara Medical Center (US)
- Stanford Medicine (US)
- Texas Neurology (US)
- Mayo Clinic in Florida (US)
- University of Colorado Anschutz Medical Campus (US)
- University of Colorado Denver (US)
Publication Details
- Journal
- American Journal of Neuroradiology
- Published
- 2025-11-20
- DOI
- https://doi.org/10.3174/ajnr.a9017
- Primary Topic
- Neurosurgical Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00