Spontaneous intracranial hypotension (SIH): treatment
Evidence-based neurology checklist on spontaneous intracranial hypotension (sih): treatment: Conservative treatment Bed rest Hydration Oral caffeine Abdominal binder Trendelenburg position Epidural blood patch (EBP): background Epidural blood patch (EBP): adverse effects Other treatments to seal…
Conservative treatment
- Bed rest
- Hydration
- Oral caffeine
- Abdominal binder
- Trendelenburg position
Epidural blood patch (EBP): background
Epidural blood patch (EBP): adverse effects
Other treatments to seal the leak
Other treatments
Treatments with limited benefit
Treatments of headaches
Complication of treatment: rebound high pressure headache
Outcomes of treatment
References
- Schievink WI. Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA 2006; 295:2286-2296.
- Stephen CD, Rojas R, Lioutas VA, Papavassiliou E, Simon DK. Complicated spontaneous intracranial hypotension treated with intrathecal saline infusion. Pract Neurol 2016; 16:146-149.
- Tyagi A. Management of spontaneous intracranial hypotension. Pract Neurol 2016; 16:87-88.
- Cheema S, Anderson J, Angus-Leppan H, et al. Multidisciplinary consensus guideline for the diagnosis and management of spontaneous intracranial hypotension. JNNP 2023 (Online ahead of print).
- Cho KI, Moon HS, Jeon HJ, Park K, Kong DS. Spontaneous intracranial hypotension: efficacy of tragic targeting vs blind blood patch. Neurology 2011; 76:1139-1144.
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