WouterSchievink

Please join me in congratulating @marcelmaya with his new position as Chair of the Department of Imaging @CedarsSinai! He has been finding and curing CSF leaks for 25 years. More meetings for him but not less DSMs embos FGIs or daily CSF leak rounds @spinalCSFleak @issclsociety

Co-presidents @PeterGKranz and @WouterSchievink are taking it easy getting ready for the inaugural meeting of the @issclsociety in amazing New York, New York @nycgov

Endoscopic surgery for ventral CSF leaks has emerged as a minimally invasive alternative to classic intradural surgery. Both have pros and cons, but the alternate approach may be ideal for patients who have failed the initial surgery @spinalCSFleak pubmed.ncbi.nlm.nih.gov/42826417/

Chronic ventral or lateral spinal CSF leaks can cause progressive weakness and atrophy of the shoulders and upper extremities. It is often misdiagnosed and can mimic ALS. Early surgical repair is crucial @spinalCSFleak @alsassociation @issclsociety neurology.org/doi/10.1212/WN…

For patients with superficial siderosis but no source on craniospinal MRI lateral myelography is indicated to look for a fistula. Also consider prone myelography for ventral fistula detection at site of disc herniation @spinalCSFleak @livingwithSS pubmed.ncbi.nlm.nih.gov/42371616/