Table 3

Responses to the question ‘what barriers (if any) do you feel there are in the treatment of SIH?’

ResponseRespondents, n (%) (total=79)
Lack of access to a (dedicated) person able to perform EBP14 (18.4)
Lack of a standardised management pathway/guideline5 (6.6)
SIH is often difficult to treat5 (6.6)
It is often difficult to find the leak site4 (5.3)
Lack of evidence for treatments4 (5.3)
Scepticism about efficacy of EBP in SIH by anaesthetists4 (5.3)
Delays to being seen in tertiary centre3 (3.9)
Lack of responsibility for treatment/ownership3 (3.9)
Lack of funding/commissioned services3 (3.9)
Delay in diagnosis2 (2.6)
Lack of awareness of SIH by anaesthetists2 (2.6)
Difficulties with organising multidisciplinary care2 (2.6)
Delays to EBP being performed2 (2.6)
Lack of availability of theatre space to perform EBP2 (2.6)
Unknown how many EBP to perform before moving to myelography2 (2.6)
Unclear role of intravenous caffeine2 (2.6)
Lack of surgical expertise to repair leak2 (2.6)
None6 (7.9)
  • This question was asked of all respondents, regardless of specialty, provided they said they were aware of the syndrome of SIH. Responses are grouped according to theme.

  • Percentages shown are the proportion of all participants who responded to this question; respondents were able to state more than one barrier.

  • EBP, epidural blood patch; SIH, spontaneous intracranial hypotension.