Protocolo de Abordagem Diagnóstica e Terapêutica da Hipotensão Intracraniana Espontânea.

Autores da FMUP

• Luis Carlos Pereira Braz

  Autor

• Joana Da Cruz Guimarães Ferreira De Almeida

  Autor

Participantes de fora da FMUP

• Pinto MJ
• Fonseca J
• Pereira P
• Trigo Barbosa P
• Gomes A

Unidades de investigação

• Neurociências Clínicas e Saúde Mental

Abstract

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.

Keywords

• Cerebrospinal Fluid Leak/diagnostic imaging; Intracranial Hypotension/diagnostic imaging; Intracranial Hypotension/therapy