Skip to main content

Consensus Guidelines on Diagnostic Brain and Spine Imaging of Spontaneous Intracranial Hypotension.

Publication ,  Journal Article
Kranz, PG; Amrhein, TJ; Brinjikji, W; Callen, AL; Carroll, I; Chazen, JL; Cutsforth-Gregory, J; Friedman, DI; Hutchins, TA; Lehman, VT ...
Published in: AJNR Am J Neuroradiol
December 4, 2025

Diagnostic imaging of the brain and spine in spontaneous intracranial hypotension (SIH) has evolved rapidly in the past several years, presenting challenges for practitioners seeking to stay current on the optimal methods for investigating and localizing spinal CSF leaks. We established a Guidelines Working Group with representation from experts in diagnostic imaging as well as external experts in the clinical management of SIH. Recommendations and statements addressing the selection and performance of diagnostic imaging in patients with known or suspected SIH were developed by using a modified Delphi process. The intent was to provide guidance across a variety of practice settings in North American health care systems to implement current best practices in the diagnostic evaluation of SIH.

Duke Scholars

Published In

AJNR Am J Neuroradiol

DOI

EISSN

1936-959X

Publication Date

December 4, 2025

Volume

46

Issue

12

Start / End Page

2457 / 2467

Location

United States

Related Subject Headings

  • Practice Guidelines as Topic
  • Nuclear Medicine & Medical Imaging
  • Neuroimaging
  • Magnetic Resonance Imaging
  • Intracranial Hypotension
  • Humans
  • Brain
  • 3406 Physical chemistry
  • 3209 Neurosciences
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Kranz, P. G., Amrhein, T. J., Brinjikji, W., Callen, A. L., Carroll, I., Chazen, J. L., … Jordan, J. E. (2025). Consensus Guidelines on Diagnostic Brain and Spine Imaging of Spontaneous Intracranial Hypotension. AJNR Am J Neuroradiol, 46(12), 2457–2467. https://doi.org/10.3174/ajnr.A9017
Kranz, Peter G., Timothy J. Amrhein, Waleed Brinjikji, Andrew L. Callen, Ian Carroll, J Levi Chazen, Jeremy Cutsforth-Gregory, et al. “Consensus Guidelines on Diagnostic Brain and Spine Imaging of Spontaneous Intracranial Hypotension.AJNR Am J Neuroradiol 46, no. 12 (December 4, 2025): 2457–67. https://doi.org/10.3174/ajnr.A9017.
Kranz PG, Amrhein TJ, Brinjikji W, Callen AL, Carroll I, Chazen JL, et al. Consensus Guidelines on Diagnostic Brain and Spine Imaging of Spontaneous Intracranial Hypotension. AJNR Am J Neuroradiol. 2025 Dec 4;46(12):2457–67.
Kranz, Peter G., et al. “Consensus Guidelines on Diagnostic Brain and Spine Imaging of Spontaneous Intracranial Hypotension.AJNR Am J Neuroradiol, vol. 46, no. 12, Dec. 2025, pp. 2457–67. Pubmed, doi:10.3174/ajnr.A9017.
Kranz PG, Amrhein TJ, Brinjikji W, Callen AL, Carroll I, Chazen JL, Cutsforth-Gregory J, Friedman DI, Hutchins TA, Lehman VT, Madhavan AA, Mamlouk MD, Mark IT, Maya MM, Moser FG, Parikh SK, Schievink WI, Shah LM, Shah VN, Thaker AA, Jordan JE. Consensus Guidelines on Diagnostic Brain and Spine Imaging of Spontaneous Intracranial Hypotension. AJNR Am J Neuroradiol. 2025 Dec 4;46(12):2457–2467.

Published In

AJNR Am J Neuroradiol

DOI

EISSN

1936-959X

Publication Date

December 4, 2025

Volume

46

Issue

12

Start / End Page

2457 / 2467

Location

United States

Related Subject Headings

  • Practice Guidelines as Topic
  • Nuclear Medicine & Medical Imaging
  • Neuroimaging
  • Magnetic Resonance Imaging
  • Intracranial Hypotension
  • Humans
  • Brain
  • 3406 Physical chemistry
  • 3209 Neurosciences
  • 3202 Clinical sciences