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著者: Expert Panel on Neurological Imaging; Timpone VM, Parsons MS, Boulter DJ, Burns J, Eldaya RW, Grossberg JA, Hassankhani A, Hutchins TA, Kelly AG, Khan MA, Ortiz AO, Potter CA, Shah VN, Shih RD, Wright CL, Policeni B.
雑誌名: J Am Coll Radiol. 2024 Nov;21(11S):S396-S412. doi: 10.1016/j.jacr.2024.08.020.
Abstract/Text
The clinical syndrome of intracranial hypotension refers to the symptoms caused by cerebrospinal fluid hypovolemia and is primarily characterized by postural headaches, but can be associated with a multitude of other neurological symptoms. Imaging plays a critical role in helping to establish a diagnosis of intracranial hypotension, localize the source of cerebrospinal fluid leak, and assist in directing targeted treatments. Using the best available evidence, this document provides diagnostic imaging recommendations for the workup of intracranial hypotension across various clinical presentations. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.
Copyright © 2024 American College of Radiology. Published by Elsevier Inc. All rights reserved.
PMID 39488351 J Am Coll Radiol. 2024 Nov;21(11S):S396-S412. doi: 10.1016/j.jacr.2024.08.020.
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