Canadian Consensus Guidelines for the Diagnosis and Management of Spontaneous Intracranial Hypotension

Spontaneous intracranial hypotension (SIH) is a disabling neurological condition that is often treatable, and in many cases curable.Despite this, SIH is often mis-or underdiagnosed, and significant gaps in care exist in Canada.Patients often face long delays in obtaining diagnosis and treatment, and receive inconsistent management across the country.These multidisciplinary Canadian guidelines have been developed to address gaps in care and represent a consensus, evidence-based approach (where available) to the diagnosis and treatment of SIH.These guidelines were developed through a comprehensive literature review and a modified RAND process, with a working group of subject-matter experts representing neurology, neuroradiology, anesthesiology, and neurosurgery, as well as people with lived experience.These guidelines provide a practical approach to diagnosing and managing patients with SIH, with a Canadian perspective.