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Consensus Guidelines on Diagnostic Brain and Spine Imaging of Spontaneous Intracranial Hypotension.

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Title: Consensus Guidelines on Diagnostic Brain and Spine Imaging of Spontaneous Intracranial Hypotension.
Authors: Kranz PG; From the Department of Radiology (P.G.K., T.J.A.), Duke University Medical Center, Durham, North Carolina peter.kranz@duke.edu., Amrhein TJ; From the Department of Radiology (P.G.K., T.J.A.), Duke University Medical Center, Durham, North Carolina.; Department of Radiology (T.J.A.), Duke University Medical Center, Durham, North Carolina., Brinjikji W; Department of Radiology and Neurosurgery (W.B.), Mayo Clinic, Rochester, Minnesota., Callen AL; Department of Radiology (A.L.C.), University of Colorado Anschutz Medical Campus, Aurora, Colorado., Carroll I; Department of Anesthesiology, Perioperative and Pain Medicine (I.C.), Stanford University, Palo Alto, California., Chazen JL; Department of Radiology (J.L.C.), Hospital for Special Surgery, Weill Cornell Medicine, New York, New York., Cutsforth-Gregory J; Department of Radiology and Neurology (J.C.-G.), Mayo Clinic, Rochester, Minnesota., Friedman DI; Yellow Rose of Texas Headache and Neuro-Ophthalmology (D.I.F.), Dallas, Texas., Hutchins TA; Department of Radiology and Imaging Sciences (T.A.H., L.M.S.), University of Utah, Salt Lake City, Utah., Lehman VT; Department of Radiology (V.T.L., A.A.M., I.T.M.), Mayo Clinic, Rochester, Minnesota., Madhavan AA; Department of Radiology (V.T.L., A.A.M., I.T.M.), Mayo Clinic, Rochester, Minnesota., Mamlouk MD; The Permanente Medical Group (M.D.M.), Kaiser Permanente Medical Center, Santa Clara, Santa Clara, California.; Department of Radiology and Biomedical Imaging (M.D.M.), University of California San Francisco, San Francisco, California., Mark IT; Department of Radiology (V.T.L., A.A.M., I.T.M.), Mayo Clinic, Rochester, Minnesota., Maya MM; Department of Imaging, Cedars Sinai Medical Center (M.M.M., F.G.M., W.I.S.), Beverly Hills, California., Moser FG; Department of Imaging, Cedars Sinai Medical Center (M.M.M., F.G.M., W.I.S.), Beverly Hills, California., Parikh SK; Department of Neurology (S.K.P.), Emory University, Emory Healthcare, Atlanta, Georgia., Schievink WI; Department of Imaging, Cedars Sinai Medical Center (M.M.M., F.G.M., W.I.S.), Beverly Hills, California., Shah LM; Department of Radiology and Imaging Sciences (T.A.H., L.M.S.), University of Utah, Salt Lake City, Utah., Shah VN; Department of Radiology (V.N.S.), University of California San Francisco, San Francisco, California., Thaker AA; Department of Radiology, (A.A.T.), Denver Health, Denver, Colorado., Jordan JE; Providence Little Company of Mary Medical Center (J.E.J.), Torrance, California.
Source: AJNR. American journal of neuroradiology [AJNR Am J Neuroradiol] 2025 Dec 04; Vol. 46 (12), pp. 2457-2467. Date of Electronic Publication: 2025 Dec 04.
Publication Type: Journal Article; Practice Guideline
Language: English
Journal Info: Publisher: American Society of Neuroradiology Country of Publication: United States NLM ID: 8003708 Publication Model: Electronic Cited Medium: Internet ISSN: 1936-959X (Electronic) Linking ISSN: 01956108 NLM ISO Abbreviation: AJNR Am J Neuroradiol Subsets: MEDLINE
Imprint Name(s): Publication: Oak Brook, IL : American Society of Neuroradiology
Original Publication: Baltimore, Williams & Wilkins.
MeSH Terms: Intracranial Hypotension*/diagnosis , Neuroimaging*/standards , Brain*/pathology , Practice Guidelines as Topic*, Humans ; Magnetic Resonance Imaging/standards
Abstract: 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.
(© 2025 by American Journal of Neuroradiology.)
Entry Date(s): Date Created: 20251120 Date Completed: 20251204 Latest Revision: 20251204
Update Code: 20251205
DOI: 10.3174/ajnr.A9017
PMID: 41266257
Database: MEDLINE
Description
Abstract: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.<br /> (© 2025 by American Journal of Neuroradiology.)
ISSN:1936-959X
DOI:10.3174/ajnr.A9017