Duke Radiology Grand Rounds Lectures are conducted on Thursdays at 7:30 a.m.- 8:30 a.m. in Room 2002 Duke North. The mission for Radiology Grand Rounds is to provide an educational format which has a broad appeal to faculty and trainees. If you have any further questions regarding Radiology Grand Rounds, please contact Debbie Griffin at 919-684-7228.
Spontaneous Intracranial Hypotension: A new frontier in medicine
Spontaneous intracranial hypotension (SIH) is a condition caused by noniatrogenic spinal CSF leaks that classically presents with orthostatic headaches. These headaches, in conjunction with nausea, diplopia, tinnitus, and cognitive deficits, often result in profound disability. SIH was once assumed to be rare and was unheard of by most physicians little more than two decades ago. However, considerable research and teaching efforts by a few physician groups over the past decade has led to greater awareness of SIH and an increased recognition of cases. The Duke Radiology team is a recognized leader in the study and treatment of SIH. This lecture will review the history of SIH, highlighting Duke’s important contributions to this field, and will discuss the important role that radiologists play in both diagnosis and treatment. Additionally, this presentation will explore a unique problem uncommon to most lines of medical investigation in the modern age – how does one establish the existence of a new pathologic diagnosis not taught in medical school, convince fellow physicians of its credibility, and help raise awareness broadly in order to optimally treat this underrecognized patient population?