[Guidelines for the Diagnosis and Treatment of Spontaneous

Acta Medica Port · May 2023

[Guidelines for the Diagnosis and Treatment of Spontaneous Intracranial Hypotension].

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. ⋯ 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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- Maria João Pinto, Luís Braz, José Fonseca, Paulo Pereira, Paula Trigo Barbosa, Armanda Gomes, and 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. Portugal.
- Acta Medica Port. 2023 May 2; 36 (5): 363367363-367.
AbstractSpontaneous 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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[Guidelines for the Diagnosis and Treatment of Spontaneous Intracranial Hypotension].

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