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Diagnosis of spontaneous intracranial hypotension

Diagnosis of spontaneous intracranial hypotension
Applies to patients with spontaneous onset of symptoms, including those with symptoms after minor trauma. (Diagnosis of post-dural puncture headache is made clinically when symptoms begin immediately following dural puncture; such patients do not typically require diagnostic evaluation. Refer to the UpToDate topic on the evaluation and management of post-dural puncture headache for additional details.)

MRI: magnetic resonance imaging; CSF: cerebrospinal fluid; MR: magnetic resonance.

* MRI is performed without contrast for patients with a contraindication to gadolinium.

¶ Refer to the UpToDate topic and management algorithm for details on the treatment of spontaneous intracranial hypotension.

Δ Refer to the UpToDate topic for details on the differential diagnosis of spontaneous intracranial hypotension.
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