Related Experiment Video
Updated: Jun 1, 2026

A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients
Published on: October 17, 2017
Diagnostic criteria for headache due to spontaneous intracranial hypotension: a perspective
Wouter I Schievink1, David W Dodick, Bahram Mokri
1Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA. schievinkw@cshs.org
Abstract:
The clinical and radiographic manifestations of spontaneous intracranial hypotension are highly variable and many patients do not satisfy the 2004 International Classification of Headache Disorders criteria. We developed new diagnostic criteria for spontaneous intracranial hypotension based on cases we have seen reflecting the variable manifestations of the disorder. These criteria provide a basis for change when the classification criteria are next revised. The diagnostic criteria consist of A, orthostatic headache; B, the presence of at least one of the following: low opening pressure (≤ 60 mm H(2) O), sustained improvement of symptoms after epidural blood patching, demonstration of an active spinal cerebrospinal fluid leak, cranial magnetic resonance imaging changes of intracranial hypotension (eg, brain sagging or pachymeningeal enhancement); C, no recent history of dural puncture; and D, not attributable to another disorder.
Related Concept Videos
Increased Intracranial Pressure l: Introduction
Alterations in Blood Pressure
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart beats)...
Increased Intracranial Pressure ll: Pathophysiology
Hypertension III: Clinical Manifestations and Diagnostic Studies
Hemorrhagic Stroke l: Introduction
Cerebral Edema l: Introduction

