🚨 New Paper Alert 🚨 Hypersensitivity Reactions to Fibrin Glue During Epidural Blood Patching “We found a 0.49% incidence…none occurring during the first exposure. Younger age, lower BMI, and inadvertent intravenous injection” increase risk. ajnr.org/content/early/…

Join the SLICE NEXT FRONTIERS Congress on April 2-3, 2025 (VIRTUAL) 📍Special session on Spontaneous Intracranial Hypotension (#SIH) on April 3 @ 9:00AM CET. Registration is FREE! Sign up here: masterandfellow.com/slice/nf/editi…

SLICE NF 2025. Live case—a right T9–T10 CSFVF and bilateral CSDH treated by transvenous Onyx embolization. Case discussion with J. Theron, father of spinal venography; W. Brinjikji, pioneer of the transvenous CSFVF embo, A. Ducros Headache Neurologist. masterandfellow.com/video/680b5665…

We see spontaneous fistulas daily but traumatic ones are distinctly less common. This young man developed orthostatic headaches 2 years after a brachial plexus avulsion. Surgery with ⁦Andre Boyke, MD⁩ was able to address both a lateral leak and a fistula ⁦Spinal CSF Leak Foundation⁩

Another incredible spinal CSF leak session from TITANS of the field Andrew L Callen MD WouterSchievink Peter Kranz superlative talks & lessons - honour to host together this with expert J. Levi Chazen MD 🤩👏🏾great to see a big audience engaging more & more in this topic The American Society of Neuroradiology #ASNR25

Just published in The Journal of Headache and Pain: Our new study shows that transvenous embolization of CSF–venous fistulas leads to dramatic improvements in quality of life for patients with spontaneous intracranial hypotension …alofheadacheandpain.biomedcentral.com/articles/10.11…

Just published in AJNR ! Type 1 (ventral) CSF leaks in patients with spontaneous intracranial hypotension are mostly high-flow leaks that appear on average within 1,5 sec on digital subtraction myelography. #CSF Center Freiburg Charlotte Zander Jürgen Beck Katharina Wolf

Spontaneous intracranial hypotension is caused by spinal CSF loss in 99.9% of patients. In this girl the cause was not only at the level of the skull base but CSF was exposed to the milieu extérieur resulting in 2 bouts of meningitis ⁦Spinal CSF Leak Foundation⁩ jamanetwork.com/journals/jaman…

Excited to share our new research paper showing how decub CTM can identify the dural tear in extradural arachnoid cysts to aid in surgical repair. We also highlight several similarities with lateral CSF leaks & hint of a possible spectrum. Niklas Lützen ajnr.org/content/early/…

Our first-ever issue of Continuum dedicated to disorders of CSF dynamics is online and shipping! Why did we decide to dedicate a full issue to these disorders? 1/ 🌊🌊🌊

Do CVF have one way physiology? #SIH #CVF #CSFLeak ajnr.org/content/early/… Mayo Clinic Radiology

We are learning more & more about type 2 lateral leaks in the past year with some great papers on the topic incl this out NEW 👇🏾. Proud to collaborate with my superlative colleagues on this! 🤩 Andrew L Callen MD Mark Mamlouk Niklas Lützen Jürgen Beck Dan Scoffings David Butteriss

#EikePiechowiak introducing the “How I Do It” session at Amsterdam SIH conference

Even more controversy!! Ian Carroll, MD MS discusses treatment without imaging confirmation.

New in JNIS: a venographic classification of the epidural plexus (EP) to guide CVF embo through EP navigation. Success: >90% (Types I–II) → 50% (Type III). Type III = longer fluoroscopy + more EP perforations → prefer segmental vein access. Clinical outcomes highly favorable.

How useful are probabilistic SIH scoring systems in daily practice? A source of ongoing debate! CSF leak expert Ajay Madhavan takes us through a pragmatic approach to cases & what his latest work adds to this 🤩 👏🏾AJNR Spinal CSF Leak Foundation ISSCL m.youtube.com/watch?v=DE4d77…

theassr.org/assr-2026-prog… Peter Kranz Tim Amrhein, MD

Thrilled to announce the launch of DIVE-IIN (Intracranial Venous Stenting Evaluation in Patients With Idiopathic IC Hypertension-NCT06919744) — 2 multicenter trials on venous sinus stenting in #IIH: 🔹 DIVE-IIN EARLY 🔹 DIVE-IIN LATE First patient enrolled at Montpellier

Chronic treatment with prednisone, dexamethasone, and methotrexate for “idiopathic hypertrophic pachymeningitis” in a patient with second half of the day headaches and normal CT-myelogram. CSF-venous fistula at T8 Should’ve read ⁦Peter Kranz⁩10 myths ⁦Spinal CSF Leak Foundation

I’ve been reflecting on advances in spinal CSF leak care over the past five years — and I truly believe it represents one of the most rapid and transformative evolutions in modern medicine.