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Recent progress in neuroradiological techniques has catalysed understanding of its pathophysiological basis and clinical diagnosis, and facilitated the development of more effective investigation and treatment methods. A UK-based specialist interest group recently produced the first multidisciplinary consensus guideline for the diagnosis and treatment of SIH. Here, we summarise a practical approach to its clinical and radiological diagnosis, symptomatic and non-targeted interventional treatment, radiological identification of leak site and targeted treatment of the leak once it has been localised.<\/jats:p>","DOI":"10.1136\/pn-2023-003986","type":"journal-article","created":{"date-parts":[[2023,12,22]],"date-time":"2023-12-22T13:20:22Z","timestamp":1703251222000},"page":"98-105","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Spontaneous intracranial hypotension"],"prefix":"10.1136","volume":"24","author":[{"given":"Sanjay","family":"Cheema","sequence":"first","affiliation":[{"name":"Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK"},{"name":"Headache and Facial Pain Group, National Hospital for Neurology and Neurosurgery, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dwij","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK"},{"name":"Headache and Facial Pain Group, National Hospital for Neurology and Neurosurgery, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayman","family":"Qureshi","sequence":"additional","affiliation":[{"name":"Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parag","family":"Sayal","sequence":"additional","affiliation":[{"name":"Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salwa","family":"Kamourieh","sequence":"additional","affiliation":[{"name":"Headache and Facial Pain Group, National Hospital for Neurology and Neurosurgery, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indran","family":"Davagnanam","sequence":"additional","affiliation":[{"name":"Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, UK"},{"name":"Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4960-2294","authenticated-orcid":false,"given":"Manjit","family":"Matharu","sequence":"additional","affiliation":[{"name":"Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, London, UK"},{"name":"Headache and Facial Pain Group, National Hospital for Neurology and Neurosurgery, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,12,22]]},"reference":[{"key":"2025090409294195000_24.2.98.1","doi-asserted-by":"crossref","unstructured":"Pradeep A , Madhavan AA , Brinjikji W , et al . 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Procedural predictors of epidural blood patch efficacy in spontaneous intracranial hypotension. 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