ACR Appropriateness Criteria® Imaging of Suspected Intracranial Hypotension

Vincent M. Timpone; Matthew S. Parsons; Daniel J. Boulter; Judah Burns; Rami W. Eldaya; Jonathan A. Grossberg; Alvand Hassankhani; Troy A. Hutchins; Adam G. Kelly; Majid A. Khan; A. Orlando Ortiz; Christopher A. Potter; Vinil N. Shah; Richard D. Shih; Chadwick L. Wright; Bruno Policeni; Expert Panel on Neurological Imaging

doi:10.1016/j.jacr.2024.08.020

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ACR Appropriateness Criteria® Imaging of Suspected Intracranial Hypotension

Journal article

Peer reviewed

ACR Appropriateness Criteria® Imaging of Suspected Intracranial Hypotension

Vincent M. Timpone, Matthew S. Parsons, Daniel J. Boulter, Judah Burns, Rami W. Eldaya, Jonathan A. Grossberg, Alvand Hassankhani, Troy A. Hutchins, Adam G. Kelly, Majid A. Khan, …

Journal of the American College of Radiology, Vol.21(11 Supplement), pp.S396-S412

11/2024

DOI: 10.1016/j.jacr.2024.08.020

PMID: 39488351

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Abstract

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.

appropriate use criteria

Appropriateness Criteria

AUC

CSF leak

CSF-venous fistula

digital subtraction myelogram

dynamic CT myelogram

intracranial hypotension

spontaneous intracranial hypotension

Details

Title: Subtitle: ACR Appropriateness Criteria® Imaging of Suspected Intracranial Hypotension
Creators: Vincent M. Timpone - Mayo Clinic in Arizona
Matthew S. Parsons - Research Institute of Radiology
Daniel J. Boulter - The Ohio State University Wexner Medical Center
Judah Burns - Montefiore Medical Center
Rami W. Eldaya - Washington University in St. Louis School of Medicine
Jonathan A. Grossberg
Alvand Hassankhani - Hospital of the University of Pennsylvania
Troy A. Hutchins - University of Utah
Adam G. Kelly
Majid A. Khan - Thomas Jefferson University Hospital
A. Orlando Ortiz - Jacobi Medical Center
Christopher A. Potter
Vinil N. Shah - University of California, San Francisco
Richard D. Shih
Chadwick L. Wright
Bruno Policeni - University of Iowa
Expert Panel on Neurological Imaging
Resource Type: Journal article
Publication Details: Journal of the American College of Radiology, Vol.21(11 Supplement), pp.S396-S412
DOI: 10.1016/j.jacr.2024.08.020
PMID: 39488351
NLM abbreviation: J Am Coll Radiol
ISSN: 1546-1440
eISSN: 1558-349X
Publisher: Elsevier Inc; NEW YORK
Language: English
Date published: 11/2024
Academic Unit: Radiology; Oral Pathology, Radiology and Medicine; Otolaryngology
Record Identifier: 9984738164602771

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