The Role of Trendelenburg Positioning for the Acute Symptomatic Management of Spontaneous Intracranial Hypotension
Positioning the patient with the feet elevated above the head can reduce brain sag and provide short-term symptomatic relief while awaiting definitive treatment. Although the Trendelenburg position is widely used in practice, supporting evidence remains limited, and clinicians must be aware of its benefits, indications, and inherent limitations. Its appropriate application may assist in stabilizing patients with acute or severe SIH, particularly those with impaired consciousness, until more definitive interventions are pursued.
Authors
- David O Sohutskay (ORCID: https://orcid.org/0000-0002-1669-7784)
- Michel Toledano (ORCID: https://orcid.org/0000-0002-9046-7880)
- Ivan D. Carabenciov (ORCID: https://orcid.org/0000-0002-7006-7417)
- Ajay A. Madhavan (ORCID: https://orcid.org/0000-0003-1794-4502)
- Jeremy K. Cutsforth‐Gregory (ORCID: https://orcid.org/0000-0002-5689-4424)
- Derek Stitt (ORCID: https://orcid.org/0000-0001-8897-9361)
- Sara Hooshmand (ORCID: https://orcid.org/0000-0001-7826-4362)
- Rafid Mustafa (ORCID: https://orcid.org/0000-0003-2827-0507)
- Tony Zhang (ORCID: https://orcid.org/0000-0001-5670-6537)
- Nathaniel Rogers (ORCID: https://orcid.org/0000-0002-0411-5249)
Institutions
- Mayo Clinic (US)
- WinnMed (US)
- Mayo Clinic in Arizona (US)
Publication Details
- Journal
- The Neurohospitalist
- Published
- 2025-11-16
- DOI
- https://doi.org/10.1177/19418744251399726
- Primary Topic
- Neurosurgical Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00