Cedars Sinai Intracranial Hypotension Conference 2023

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

1. Recognize the range of clinical presentations of spontaneous intracranial hypotension (SIH).
2. Describe the diagnostic criteria for spontaneous intracranial hypotension (SIH).
3. List 5 serious complications of SIH.
4. Recognize rebound intracranial hypertension.
5. Discuss cranial imaging findings in spontaneous intracranial hypotension.
6. Describe the different types of spinal CSF leaks.
7. List current spinal imaging techniques.
8. Outline an approach to patients with suspected SIH.
9. Recognize the role of heritable disorders of connective tissue in SIH.
10. Recognize the role of needle types in reducing the risk of post-dural puncture headache.
11. Recognize iatrogenic intracranial hypotension secondary to surgical procedures.
12. Describe current percutaneous treatments in SIH.
13. List surgical approaches for different types of spinal CSF leaks.
14. Describe endovascular and shunting procedures for idiopathic intracranial hypertension.
15. Describe imaging findings of syringomyelia.
16. Discuss diagnostic and treatment challenges.
17. 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