Continuing Medical Education

Intracranial Hypotension: The Duke Experience

Renaissance Raleigh North Hills Hotel, Renaissance Raleigh North Hills Hotel, Raleigh, North Carolina

Course Description

This ½-day multidisciplinary course on Intracranial Hypotension secondary to spinal cerebrospinal fluid (CSF) leak is intended to inform local neurologists, headache specialists, and other health care professionals including neurosurgeons, anesthesiologists, neuroradiologists, and pain management physicians about the varied presentations and the current state of diagnosis and treatment for this disorder. Intracranial Hypotension can present as migraine, chronic migraine, new daily persistent headache, and Chiari I malformations and can be iatrogenic in origin as can be seen with lumbar punctures, epidural catheter placement and epidural injections. The approach to the diagnosis with CT guided lumbar puncture, myelogram, and minimally invasive techniques including fibrin glue and bloodpatching as well as indications for surgical intervention will be discussed.
Invited speakers include neuroradiology, neurology-ophthalmology, neurosurgery, and orthopedic surgery. If you have cases you would like to have discussed during a last session, send cases for consideration ahead of time to Dr. Gray Leithe at linda.leithe@duke.edu.
Educational Objectives
• Describe the clinical presentation of patients with Spontaneous Intracranial Hypotension (SIH).
• Recognize MR and myelographic imaging findings suggestive of SIH
• Identify minimally invasive and surgical treatment of SIH secondary to CSF leaks

 

JOINT ACCREDITATION STATEMENT
In support of improving patient care, the Duke University Health System Department of Clinical Education and Professional Development is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME), to provide continuing education for the health care team.
EDUCATION CREDITS
Duke University Health System Department of Clinical Education and Professional Development designates this live activity for a maximum of 4.25 AMA PRA Category 1 Credit(s)TM. Physicians should claim only credit commensurate with the extent of their participation in the activity. Credit designation for technologists is pending.
NURSE CE
Duke University Health System Department of Clinical Education and Professional Development designates this activity for up to 4.25 credit hours for nurses. Nurses should claim only credit commensurate with the extent of their participation in the activity.
TECHNOLOGIST CE
The American Society of Radiologic Technologists (ASRT) has approved this meeting for 5 hours of CE for radiologic technologists.

Faculty

Timothy J. Amrhein, MD
Assistant Professor of Radiology
Division of Neuroradiology
Department of Radiology
Duke University Medical Center
Durham, NC

Christopher R. Brown, MD
Associate Professor
Department of Orthopaedic Spine Surgery
Duke University Medical Center
Durham, NC

Deborah I. Friedman, MD, MPH
Professor of Neurology & Neurotherapeutics and
of Ophthalmology
Director, Headache and Facial Pain Program
Chair, Intracranial Pressure Disorders
Integrated Project Team
UTSouthwestern Medical Center
Dallas, TX

Linda Gray Leithe, MD
Associate Professor of Radiology
Division of Neuroradiology
Department of Radiology
Duke University Medical Center
Durham, NC

Isaac O. Karikari, MD
Assistant Professor of Neurosurgery
Department of Neurosurgery
Duke University Medical Center
Durham, NC

Peter G. Kranz, MD
Associate Professor of Radiology
Division of Neuroradiology
Department of Radiology
Duke University Medical Center
Durham, NC

Michael D. Malinzak, MD, PhD
Medical Instructor of Radiology
Division of Neuroradiology
Department of Radiology
Duke University Medical Center
Durham, NC

Schedule

Saturday, March 23

7:30 A.M.     Opening Remarks & Breakfast
7:45 A.M.     Clinical Presentations of CSF Pressure Problems – Deborah Friedman, MD
8:15 A.M.     Diagnostic Studies for Detecting and Diagnosing CSF Leaks – Peter Kranz, MD
8:45 A.M.    Minimally Invasive Methods for Treating CSF Leaks – Linda Gray Leithe, MD
9:15 A.M.     Diagnosis and Treatment of Postpatch Headaches – Michael Malinzak, MD, PhD
9:45 A.M.    Research Trials – Timothy Amrhein, MD
10:15 A.M.   Q&A Break
10:30 A.M.  Surgical Treatment of Disc Induced CSF Leaks – Christopher Brown, MD
11:00 A.M.   Surgical Treatment of CSF Leaks Secondary to Dural Defects and CSF Venous Fistulas – Isaac Karikari, MD
11:30 A.M.   Case Presentations
12 Noon        Q&A
12:15 P.M.    Adjourn

Registration

RECEIVED BY 3/15/19
Professionals $75
Residents/Fellows $60
Nurses/Technologists $40
RECEIVED AFTER 3/15/19
Professionals $95
Residents/Fellows $80
Nurses/Technologists $50

COURSE LOCATION
Renaissance Raleigh North Hills Hotel
4100 Main at North Hills Street
Raleigh, NC 27609

REGISTER TODAY!

Registrations may be submitted by fax, mail or online using the registration button below.

To pay by check, download registration form here.  Check can be mailed to the address below.
If you have a question regarding the course or registration, please call 919-684-7228.

MAIL PAYMENT
Make checks payable to Duke University, and mail to:
Duke University
Department of Radiology, Box 3808
Attn: Deborah Griffin
2301 Erwin Road
Durham, NC 27710

Brochure Register