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Navigating the Highs and Lows of CSF Volume: Insights into Spontaneous Intracranial Hypotension and Idiopathic Intracranial Hypertension

Navigating the Highs and Lows of CSF Volume

This course will provide a comprehensive review of both spontaneous intracranial hypotension and idiopathic intracranial hypertension, enabling both expert and non-expert radiologists alike to optimize their diagnostic and treatment skills in the care of these patients.

Learning Outcomes and Modules

After completing this course, the learner should be able to:

  • Describe the typical clinical presentations of SIH and IIH and recognize the classic brain MRI findings of each.
  • List the three subtypes of spinal CSF leaks that cause SIH.
  • Summarize the different spinal imaging modalities available to search for spinal CSF leaks in SIH and explain the pros and cons of each..
  • List the three primary treatment options for SIH.
  • Explain the indications for and role of dural venous sinus angioplasty and stenting in the treatment of IIH.

Module 1

  • IIH: Pathophysiology, Diagnostic Criteria, and Imaging Findings —Ian Mark, MD
  • IIH: Treatment: Transverse Sinus Stenosis and Angioplasty—Eike Immo Piechowiak, MD
  • SIH: Clinical Presentation and Brain MRI—Jessica L. Houk, MD
  • SIH: CSF Leaks: Spinal Imaging Approach with Extradural Collection—Lalani Carlton Jones, MD

Module 2

  • SIH: CSF leaks: Spinal Imaging Approach without Extradural Collection—Ajay A. Madhavan, MD
  • SIH: Treatment: Epidural Blood Patching— Timothy J. Amrhein, MD
  • SIH Treatment: Transvenous Embolization—Nicholas Thomas Befera, MD
  • SIH Treatment: Surgery—Wouter Schievink, MD