Spontaneous intracranial hypotension (SIH): treatment
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Spontaneous intracranial hypotension (SIH): treatment. Bed rest, Hydration, Oral caffeine, Abdominal binder. Fully referenced neurology checklist.
Conservative treatment
- Bed rest
- Hydration
- Oral caffeine
- Abdominal binder
- Trendelenburg position
Epidural blood patch (EBP): background
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Epidural blood patch (EBP): adverse effects
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Other treatments to seal the leak
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Other treatments
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Treatments with limited benefit
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Treatments of headaches
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Complication of treatment: rebound high pressure headache
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Outcomes of treatment
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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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