Publicação
Guidelines for the Diagnosis and Treatment of Spontaneous Intracranial Hypotension
| Resumo: | 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. 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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| Autores principais: | Pinto, Maria João |
| Outros Autores: | Braz, Luís; Fonseca, José; Pereira, Paulo; Trigo Barbosa, Paula; Gomes, Armanda; Guimarães, Joana |
| Assunto: | Cerebrospinal Fluid Leak/diagnostic imaging Intracranial Hypotension/diagnostic imaging Intracranial Hypotension/therapy Hipotensão Intracraniana/diagnóstico por imagem Hipotensão Intracraniana/tratamento Perda de Líquido Cefalorraquidiano/diagnóstico por imagem |
| Ano: | 2023 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | Ordem dos Médicos |
| Idioma: | português |
| Origem: | Acta Médica Portuguesa |
| Resumo: | 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. 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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