OtherSpine Imaging and Spine Image-Guided Interventions
Consensus Guidelines on Diagnostic Brain and Spine Imaging of Spontaneous Intracranial Hypotension
Peter G. Kranz, Timothy J. Amrhein, Waleed Brinjikji, Andrew L. Callen, Ian Carroll, J. Levi Chazen, Jeremy Cutsforth-Gregory, Deborah I. Friedman, Troy A. Hutchins, Vance T. Lehman, Ajay A. Madhavan, Mark D. Mamlouk, Ian T. Mark, Marcel M. Maya, Franklin G. Moser, Simy K. Parikh, Wouter I. Schievink, Lubdha M. Shah, Vinil N. Shah, Ashesh A. Thaker and John E. Jordan
American Journal of Neuroradiology December 2025, 46 (12) 2457-2467; DOI: https://doi.org/10.3174/ajnr.A9017
Peter G. Kranz
aFrom the Department of Radiology (P.G.K., T.J.A.), Duke University Medical Center, Durham, North Carolina
Timothy J. Amrhein
aFrom the Department of Radiology (P.G.K., T.J.A.), Duke University Medical Center, Durham, North Carolina
bDepartment of Radiology (T.J.A.), Duke University Medical Center, Durham, North Carolina
Waleed Brinjikji
cDepartment of Radiology and Neurosurgery (W.B.), Mayo Clinic, Rochester, Minnesota
Andrew L. Callen
fDepartment of Radiology (A.L.C.), University of Colorado Anschutz Medical Campus, Aurora, Colorado
Ian Carroll
gDepartment of Anesthesiology, Perioperative and Pain Medicine (I.C.), Stanford University, Palo Alto, California
J. Levi Chazen
hDepartment of Radiology (J.L.C.), Hospital for Special Surgery, Weill Cornell Medicine, New York, New York
Jeremy Cutsforth-Gregory
dDepartment of Radiology and Neurology (J.C.-G.), Mayo Clinic, Rochester, Minnesota
Deborah I. Friedman
iYellow Rose of Texas Headache and Neuro-Ophthalmology (D.I.F.), Dallas, Texas
Troy A. Hutchins
jDepartment of Radiology and Imaging Sciences (T.A.H., L.M.S.), University of Utah, Salt Lake City, Utah
Vance T. Lehman
eDepartment of Radiology (V.T.L., A.A.M., I.T.M.), Mayo Clinic, Rochester, Minnesota
Ajay A. Madhavan
eDepartment of Radiology (V.T.L., A.A.M., I.T.M.), Mayo Clinic, Rochester, Minnesota
Mark D. Mamlouk
kThe Permanente Medical Group (M.D.M.), Kaiser Permanente Medical Center, Santa Clara, Santa Clara, California
lDepartment of Radiology and Biomedical Imaging (M.D.M.), University of California San Francisco, San Francisco, California
Ian T. Mark
eDepartment of Radiology (V.T.L., A.A.M., I.T.M.), Mayo Clinic, Rochester, Minnesota
Marcel M. Maya
mDepartment of Imaging, Cedars Sinai Medical Center (M.M.M., F.G.M., W.I.S.), Beverly Hills, California
Franklin G. Moser
mDepartment of Imaging, Cedars Sinai Medical Center (M.M.M., F.G.M., W.I.S.), Beverly Hills, California
Simy K. Parikh
nDepartment of Neurology (S.K.P.), Emory University, Emory Healthcare, Atlanta, Georgia
Wouter I. Schievink
mDepartment of Imaging, Cedars Sinai Medical Center (M.M.M., F.G.M., W.I.S.), Beverly Hills, California
Lubdha M. Shah
jDepartment of Radiology and Imaging Sciences (T.A.H., L.M.S.), University of Utah, Salt Lake City, Utah
Vinil N. Shah
oDepartment of Radiology (V.N.S.), University of California San Francisco, San Francisco, California
Ashesh A. Thaker
pDepartment of Radiology, (A.A.T.), Denver Health, Denver, Colorado.
John E. Jordan
qProvidence Little Company of Mary Medical Center (J.E.J.), Torrance, California

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In this issue
American Journal of Neuroradiology
Vol. 46, Issue 12
1 Dec 2025
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Peter G. Kranz, Timothy J. Amrhein, Waleed Brinjikji, Andrew L. Callen, Ian Carroll, J. Levi Chazen, Jeremy Cutsforth-Gregory, Deborah I. Friedman, Troy A. Hutchins, Vance T. Lehman, Ajay A. Madhavan, Mark D. Mamlouk, Ian T. Mark, Marcel M. Maya, Franklin G. Moser, Simy K. Parikh, Wouter I. Schievink, Lubdha M. Shah, Vinil N. Shah, Ashesh A. Thaker, John E. Jordan
Consensus Guidelines on Diagnostic Brain and Spine Imaging of Spontaneous Intracranial Hypotension
American Journal of Neuroradiology Dec 2025, 46 (12) 2457-2467; DOI: 10.3174/ajnr.A9017
0 Responses
Consensus Guidelines SIH diagnostic imaging
Peter G. Kranz, Timothy J. Amrhein, Waleed Brinjikji, Andrew L. Callen, Ian Carroll, J. Levi Chazen, Jeremy Cutsforth-Gregory, Deborah I. Friedman, Troy A. Hutchins, Vance T. Lehman, Ajay A. Madhavan, Mark D. Mamlouk, Ian T. Mark, Marcel M. Maya, Franklin G. Moser, Simy K. Parikh, Wouter I. Schievink, Lubdha M. Shah, Vinil N. Shah, Ashesh A. Thaker, John E. Jordan
American Journal of Neuroradiology Dec 2025, 46 (12) 2457-2467; DOI: 10.3174/ajnr.A9017
Jump to section
- Article
- Abstract
- ABBREVIATIONS:
- TERMINOLOGY
- METHODS
- TOPIC ONE: OVERVIEW AND GENERAL APPROACH TO WORK-UP
- TOPIC TWO: BRAIN IMAGING IN SIH
- TOPIC THREE: SPINE IMAGING, INITIAL IMAGING STRATEGY
- TOPIC FOUR: SPINE IMAGING, MRI TECHNIQUES
- TOPIC FIVE: SPINE IMAGING, ADVANCED MYELOGRAPHY IN PATIENTS WITH SPINAL EPIDURAL FLUID COLLECTIONS
- TOPIC SIX: SPINE IMAGING, ADVANCED MYELOGRAPHY IN THE ABSENCE OF AN EPIDURAL FLUID COLLECTION
- LIMITATIONS
- CONCLUSIONS
- Footnotes
- REFERENCES
- Figures & Data
- Info & Metrics
- Responses
- References
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