Journal article
ACR Appropriateness Criteria® Imaging of Suspected Intracranial Hypotension
Journal of the American College of Radiology, Vol.21(11 Supplement), pp.S396-S412
11/2024
DOI: 10.1016/j.jacr.2024.08.020
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.
Details
- Title: Subtitle
- ACR Appropriateness Criteria® Imaging of Suspected Intracranial Hypotension
- Creators
- Vincent M. Timpone - Mayo Clinic in ArizonaMatthew S. Parsons - Research Institute of RadiologyDaniel J. Boulter - The Ohio State University Wexner Medical CenterJudah Burns - Montefiore Medical CenterRami W. Eldaya - Washington University in St. Louis School of MedicineJonathan A. GrossbergAlvand Hassankhani - Hospital of the University of PennsylvaniaTroy A. Hutchins - University of UtahAdam G. KellyMajid A. Khan - Thomas Jefferson University HospitalA. Orlando Ortiz - Jacobi Medical CenterChristopher A. PotterVinil N. Shah - University of California, San FranciscoRichard D. ShihChadwick L. WrightBruno Policeni - University of IowaExpert Panel on Neurological Imaging
- Resource Type
- Journal article
- Publication Details
- Journal of the American College of Radiology, Vol.21(11 Supplement), pp.S396-S412
- Publisher
- Elsevier Inc; NEW YORK
- DOI
- 10.1016/j.jacr.2024.08.020
- ISSN
- 1546-1440
- eISSN
- 1558-349X
- Language
- English
- Date published
- 11/2024
- Academic Unit
- Radiology; Oral Pathology, Radiology and Medicine; Otolaryngology
- Record Identifier
- 9984738164602771
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