Spontaneous Intracranial Hypotension: A Review and Introduction of an Algorithm For Management

Benjamin Davidson, Farshad Nassiri, Alireza Mansouri, Jetan H. Badhiwala, Christopher D. Witiw, Mohammed F. Shamji, Philip W. Peng, Richard I. Farb, Mark Bernstein

Research output: Contribution to journalReview articlepeer-review

58 Scopus citations


Background Spontaneous intracranial hypotension (SIH) is a condition of low cerebrospinal fluid volume and pressure caused by a leak of cerebrospinal fluid through a dural defect. Diagnosis and management can be difficult, often requiring coordination between multiple disciplines for myelography, blood patching, and possible surgical repair. Patients should be monitored closely, because they can deteriorate into a coma or even death. There are no widely accepted guidelines for the management of SIH. Methods and Conclusions We review the existing SIH literature, illustrate management challenges via a case review, and propose an algorithm developed by neurosurgeons, radiologists, and anesthesiologists intended to simplify and streamline the management of SIH.

Original languageEnglish (US)
Pages (from-to)343-349
Number of pages7
JournalWorld neurosurgery
StatePublished - May 1 2017

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology


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