Scheduling Process

Due to the exceptionally high demand for appointments with our group, which has led to an exceedingly long wait list, we are temporarily unable to see self-referral patients with negative imaging. When this situation changes, we will update our website.

If you are interested in a phone consultation concerning whether or not you are a candidate for a CSF leak evaluation and treatment:

• Call our coordinator at 919-684-7214 (Press Option 2).
• M-F 7:30am-4:00pm
• We will return your call within 1-3 business days.

Pre-Consultation requirements:

• MRI of the brain with contrast performed within the last 6 months- We MUST have images on a CD mailed to our office, the report is not sufficient. An MRI brain with contrast is required because there are certain signs of spontaneous intracranial hypotension (SIH) that are only demonstrated on contrasted images.  See article here
• Copies of clinic notes and imaging reports related to your symptoms (paperclips are fine, but no staples please)
• Copy of front and back of insurance card
• CT Myelogram/MRI spine: (not required, but must submit if performed)

We suggest all pre-consultation requirements be mailed via Fed Ex or UPS with tracking.

Please call our coordinator to obtain a medical record number (MRN).  Include this number on the New Patient Spinal CSF Leak Referral Form and submit with pre-consultation packet.

Mailing Address

Duke University Medical Center
Department of Radiology, Box 3808
C/O CT Spine Therapy
Duke North, Room 1514
2301 Erwin Road
Durham, NC 27710

STEP 1: Send Pre-Consultation requirements

• Obtain a copy of your MRI brain with contrast and copies of your clinic notes, imaging reports and insurance card and mail to our office. Please include your Duke assigned medical record number with anything mailed to our office for review.

STEP 2:  Review Process

• Your records will be uploaded to our electronic medical record system and sent to our nurse practitioner for initial review.  The upload and review process may take up to several weeks from the time we receive your records.

STEP 3:  Phone Consultation

• Once the nurse practitioner reviews your medical records, she will contact you to further discuss your current condition.  After this consultation, she will review your case with the radiologist and call you back to discuss the recommended plan of care.

STEP 4:  Schedule Appointments

• Our coordinator will call you to schedule procedures recommended by the radiologist.