Table 1

List of guideline question topics formulated by the SIG

Question NoQuestion
1What key clinical features should lead to the diagnosis of SIH being considered?
2What clinical mimics of SIH should be considered and how should the diagnosis be confirmed?
3What predisposing conditions should be considered?
4When and where should patients with SIH be referred?
5What first-line investigations should be performed in patients with suspected SIH?
6How should patients in whom there is a high clinical suspicion of SIH with normal brain and spine MRI be managed?
7When should myelography be used in the investigation of SIH?
8What myelographic strategies should be used in the investigation of SIH?
9What is the role of intracranial pressure monitoring in the diagnosis of SIH?
10What are the conservative and pharmacological management strategies that should be considered and for how long?
11When should non-targeted epidural blood patches (EBP) be performed in the management of SIH?
12How should non-targeted EBPs be performed?
13What aftercare is recommended following epidural blood or fibrin sealant patching?
14When and how should targeted patches be performed?
15When and how should surgical management of a CSF leak be considered?
16How should patients with imaging signs of SIH, but who are asymptomatic, be managed?
17How should complications of SIH be identified and managed?
18What is the best approach for headache management in SIH?
19How should post-treatment rebound headache be identified and managed?
20How should neurological symptoms other than headache in patients with SIH be identified and managed?
21Is there a role for ‘orthostatic rehabilitation’ in the long-term management of patients with symptoms of SIH?
22How should patients be followed up?
  • CSF, cerebrospinal fluid; SIG, specialist interest group; SIH, spontaneous intracranial hypotension.