Diagnosis and treatment of disorders of intracranial pressure: consensus statement of the Spanish Society of Neurology's Headache Study Group

Neurologia (Engl Ed). 2024 Feb 29:S2173-5808(24)00048-8. doi: 10.1016/j.nrleng.2024.02.009. Online ahead of print.

Abstract

Primary intracranial pressure disorders include idiopathic intracranial hypertension and spontaneous intracranial hypotension. Remarkable advances have been made in the diagnosis and treatment of these 2entities in recent years. Therefore, the Spanish Society of Neurology's Headache Study Group (GECSEN) deemed it necessary to prepare this consensus statement, including diagnostic and therapeutic algorithms to facilitate and improve the management of these disorders in clinical practice. This document was created by a committee of experts belonging to GECSEN, and is based on a systematic review of the literature, incorporating the experience of the participants, and establishes practical recommendations with levels of evidence and grades of recommendation.

Keywords: Cerebrospinal fluid; Epidural blood patch; Hipertensión intracraneal idiopática; Hipotensión intracraneal espontánea; Idiopathic intracranial hypertension; Lumbar puncture; Líquido cefalorraquídeo; Papiledema; Papilledema; Parche hemático epidural; Pseudotumor cerebri; Punción lumbar; Spontaneous intracranial hypotension.

Publication types

  • Practice Guideline