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.