Cedars Sinai Intracranial Hypotension Conference 2023
Format: 2 videos + 14 pdfs, size: 19 GB
Course Audience: clinicians and researchers anesthesiology, neurology, neurosurgery, neuroradiology, and genetics
Overview:
Date & Location
Saturday, July 8, 2023, 7:00 AM – Sunday, July 9, 2023, 5:00 PM HST, The Westin Hapuna Beach Resort – Kohala Coast Hotel, Kohala Coast, HI
Target Audience
Specialties – Anesthesiology, Emergency Medicine, Family / General Medicine, Internal Medicine, Medical Genetics, Neurology, Neurosurgery, Ophthalmology, Other, Pain Management, Radiology
Professions – Nurse, Nurse (Advanced Practice NP CRNA CNM CNS), Physician, Physician Assistant, Researcher (non-physician), Researcher (physician)
Overview
This two-day multidisciplinary activity on the topic of Spontaneous Intracranial Hypotension (SIH), secondary to spinal cerebrospinal fluid (CSF) leak, brings together clinicians and researchers to share the latest advances in the diagnostic evaluation and treatment of this under-diagnosed, disabling but treatable secondary headache disorder. While the course is designed for clinicians and researchers, patients and caregivers are welcome to attend either in-person or via live-streaming. Invited speakers include representatives from a range of subspecialties, including anesthesiology, neurology, neurosurgery, neuroradiology, and genetics. The topics will cover the variety of clinical presentations, differential diagnoses, complications, cranial and spinal imaging, percutaneous interventions and surgical approaches. The anatomy of the spontaneous leak types will be discussed, along with tailored imaging and treatment approaches. Iatrogenic leaks and related disorders will provide additional insights. There will be interactive discussions about diagnostic and treatment challenges, and opportunities for collaborative research. Join your colleagues in learning about important developments in the field and share your insights about priorities for the future.
Objectives
- Recognize the range of clinical presentations of spontaneous intracranial hypotension (SIH).
- Describe the diagnostic criteria for spontaneous intracranial hypotension (SIH).
- List 5 serious complications of SIH.
- Recognize rebound intracranial hypertension.
- Discuss cranial imaging findings in spontaneous intracranial hypotension.
- Describe the different types of spinal CSF leaks.
- List current spinal imaging techniques.
- Outline an approach to patients with suspected SIH.
- Recognize the role of heritable disorders of connective tissue in SIH.
- Recognize the role of needle types in reducing the risk of post-dural puncture headache.
- Recognize iatrogenic intracranial hypotension secondary to surgical procedures.
- Describe current percutaneous treatments in SIH.
- List surgical approaches for different types of spinal CSF leaks.
- Describe endovascular and shunting procedures for idiopathic intracranial hypertension.
- Describe imaging findings of syringomyelia.
- Discuss diagnostic and treatment challenges.
- Encourage participation by clinicians and patients in SIH research.
*Note: these are continuous video recordings during the conference, they include individual lectures mentioned in the Detail section below
Agenda (PDF Format)
Clinical mimics- bvFTD and BBA (PDF Format)
Clinical mimics- post-traumatic headache; NDPH; occipital neuralgia (PDF Format)
Diagnostic imaging in Idiopathic Intracranial Hypertension (PDF Format)
Endovascular approaches for Idiopathic Intracranial Hypertension (PDF Format)
Endovascular approaches (PDF Format)
Headache in MCAD- DDx or comorbidity. (PDF Format)
Heritable Disorders of Connective Tissue and Spontaneous CSF Leaks (PDF Format)
July 8 (Video MP4 Format) (10 hours)
July 9 (Video MP4 Format) (9 hours)
Percutaneous approaches to spinal CSF leaks (PDF Format)
Percutaneous approaches to Tarlov cysts (PDF Format)
SIH Cranial Imaging- qualitative and quantitative (PDF Format)
Spinal imaging diagnostic algorithm II (PDF Format)
Surgical approaches for sacral Tarlov cysts (PDF Format)
*Detail:
Saturday, July 8, 2023
Welcome and Course Introduction
7:50AM – 8:00AM
SIH Diagnostic Basics & Challenges
Moderator I: Chris Gottschalk, MD | Moderator II: Lalani Carlton Jones, MBBS
Headache / symptom patterns and diagnostic criteria
8:00AM – 8:30AM
Shuu-Jiun Wang, MD
Clinical mimics: post-traumatic headache; NDPH; occipital neuralgia
8:30AM – 8:50AM
Deborah I. Friedman, MD, MPH
Clinical mimics: bvFTD and BBA
8:50AM – 9:10AM
Wouter I. Schievink, MD
Headache in MCAD: DDx or comorbidity?
9:10AM – 9:50AM
Shijun Xi, MD
Break
9:50AM – 10:10AM
SIH Cranial Imaging: qualitative and quantitative
10:10AM – 10:30AM
Geoffrey D. Parker, MBBS
Types of spontaneous leaks – anatomy and pathogenesis
10:30AM – 10:50AM
Wouter I. Schievink, MD
Spinal Imaging diagnostic algorithm I
10:50AM – 11:10AM
Marcel Maya, MD
Spinal imaging diagnostic algorithm II
11:10AM – 11:30AM
Peter G. Kranz, MD
New diagnostics: cine MRI and CSF-PET
11:30AM – 11:50AM
Jürgen Beck, MD
Q&A
11:50AM – 12:10PM
Lunch
12:10PM – 1:10PM
SIH Pathophysiology
Moderator: Simy Parikh, MD
Heritable Disorders of Connective Tissue and Spontaneous CSF Leaks
1:10PM – 1:40PM
Cassie Parks
CSF dynamics
1:40PM – 2:10PM
Aruna Rao, MD
Iatrogenic Leaks, the other IIH
Moderator: Simy Parikh, MD
Iatrogenic leaks: PDPH, needle type data; can we reduce the incidence
2:10PM – 2:30PM
Ian Carroll, MD, MS
Andrew L Callen, MD
Iatrogenic leaks: surgical, how common and how often are they missed?
2:30PM – 2:50PM
Jürgen Beck, MD
Break
2:50PM – 3:10PM
SIH Complications
Moderator: Ray Chu, MD
Subdural hematomas in SIH: incidence, management
3:10PM – 3:30PM
Jürgen Beck, MD
Cerebral venous thrombosis: incidence, management
3:30PM – 3:50PM
Shuu-Jiun Wang, MD
Spinal manifestations in SIH
3:50PM – 4:20PM
Marcus Stoodley, MD, PhD
Superficial siderosis
4:20PM – 4:40PM
Jennifer Harris, MD
Q&A
4:40PM – 5:00PM
Sunday, July 9, 2023
Registration, Breakfast & Exhibits
7:15AM – 7:50AMPlease note the agenda is in Hawaii Standard Time (HST).
Welcome and Course Introduction
7:50AM – 8:00AM
Current and Evolving Treatment Approaches
Moderator: Ian Carroll, MD, MS
Percutaneous approaches to spinal CSF leaks
8:00AM – 8:30AM
Michael Malinzak, MD
Endovascular approaches
8:30AM – 9:00AM
Marcel Maya, MD
Surgical approach for cervical ventral leaks
9:00AM – 9:20AM
Ray Chu, MD
Surgical approach for thoracic and lumbar ventral leaks
9:20AM – 9:40AM
Wouter I. Schievink, MD
Surgical approaches for sacral Tarlov cysts
9:40AM – 10:00AM
Rudolph Schrot, MD
Percutaneous approaches to Tarlov cysts
10:00AM – 10:20AM
Kieran Murphy, MBBCh
Break
10:20AM – 10:40AM
Related CSF Disorders – what can we learn?
Moderator: Ferdinand K Hui, MD
Diagnostic imaging in Idiopathic Intracranial Hypertension
10:40AM – 11:00AM
Michael Malinzak, MD
Endovascular approaches for Idiopathic Intracranial Hypertension
11:00AM – 11:20AM
Geoffrey D. Parker, MBBS
Shunting for Idiopathic Intracranial Hypertension
11:20AM – 11:40AM
Ray Chu, MD
Syringomyelia pathophysiology, imaging, management
11:40AM – 12:00PM
Marcus Stoodley, MD, PhD
Q&A
12:00PM – 12:20PM
Lunch
12:20PM – 1:10PM
Rebound Intracranial Hypertension
Moderator: Dennis M Tang, MD
RIH – diagnosis, imaging, and natural history
1:10PM – 1:30PM
Peter G. Kranz, MD
RIH – medical treatment
1:30PM – 1:50PM
Deborah I. Friedman, MD, MPH
RIH – interventional treatments and cautions
1:50PM – 2:10PM
Geoffrey D. Parker, MBBS
Challenges in publishing
Moderator: Dennis M Tang, MD
Challenges in publishing (1993 – 2022)
2:10PM – 2:30PM
Wouter I. Schievink, MD
Peter G. Kranz, MD
Break
2:30PM – 2:50PM
Challenges in management – panel discussions
Moderator: Mi Ji Lee, MD, PhD
What to do when imaging is negative
2:50PM – 3:20PM
Wouter I. Schievink, MD
What to do when treatment response is inadequate or lacks durability
3:20PM – 3:50PM
Marcus Stoodley, MD, PhD
Research Updates
Moderator: Marcus Stoodley, MD, PhD
Latest research updates
3:50PM – 4:20PM
Deborah I. Friedman, MD, MPH
Jürgen Beck, MD
Ian Carroll, MD, MS
Discussion re collaborative research network and registry
4:20PM – 4:40PM
Abhay R. Moghekar, MBBS
Q&A
4:40PM – 5:00PM
Additional Support Strategies for 2023 Intracranial Hypotension Conference
4:50PM – 5:00PM