Cedars Sinai Intracranial Hypotension Conference 2025

Date & Location: Saturday, June 28, 2025, 8:00 AM – Sunday, June 29, 2025, 6:00 PM CET, Royal Tropical Institute, Amsterdam, Netherlands
Target Audience
Specialties – Anesthesiology, Emergency Medicine, Neurology, Neurosurgery, Radiology
Professions – Nurse, Nurse (Advanced Practice NP CRNA CNM CNS), Other (non-physician), Physician

Overview
This two-day symposium brings together international experts from Cedars-Sinai, Duke University, University of Freiburg, and University of Amsterdam to discuss the latest advances in the diagnosis and management of Spontaneous Intracranial Hypotension (SIH) and related CSF leak disorders. The program covers a wide range of topics, including clinical presentation, diagnostic techniques, treatment modalities, controversies in management, and international cooperation in SIH research and treatment.
Objectives

Accurately diagnose SIH based on its clinical spectrum and impact.
Select and implement appropriate diagnostic and treatment approaches for SIH in their clinical practice.
Apply evidence based strategies to manage controversial aspects of SIH in their patient care.

 
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Saturday, June 28, 2025

8:30AM – 8:45AM Opening remarks and course introduction Wouter I. Schievink, MD Matthijs Brouwer, MD, PhD

8:45AM – 9:00AM Welcome to the Netherlands HRH Princess Anita of Orange-Nassau

INTRODUCTION TO SPONTANEOUS INTRACRANIAL HYPOTENSION Moderator: Christopher Gottschalk, MD and Jill C. Rau, MD, PhD

9:00AM – 9:20AM Clinical spectrum of SIH Matthijs Brouwer, MD, PhD
9:20AM – 9:40AM The impact of SIH Manjit Matharu, MD

9:40AM – 10:00AM Anatomy of spontaneous spinal CSF leaks Jürgen Beck, MD

10:00AM – 10:30AM Abstract Poster Showcase and Break

HOW I DO IT (with diagnostic algorithms) Moderator: Eike Immo Piechowiak, MD

10:30AM – 10:50AM Epidural blood patching Horst Urbach, MD
10:50AM – 11:10AM Percutaneous fibrin sealant Lalani Carlton Jones, MBBS

11:10AM – 11:30AM Endovascular embolization Marcel Maya, MD

11:30AM – 11:50AM Surgical repair Wouter I. Schievink, MD

11:50AM – 12:30PM Morning Q&A

12:30PM – 1:30PM Lunch

WHAT TO DO? Moderator: Niklas Lützen, MD

1:30PM – 1:50PM Persistent headache after CSF leak resolution Katharina Wolf, MD
1:50PM – 2:10PM Brain MRI + SIH without detectable CSF leak Wouter I. Schievink, MD

2:10PM – 2:30PM Dural ectasia and orthostatic headaches Marcus Stoodley, MD, PhD
2:30PM – 2:50PM Orthostatic headache with normal imaging (with DDx) Deborah I. Friedman, MD, MPH

2:50PM – 3:20PM Break

LONG TERM SEQUELAE OF SIH vs other Moderator: Mario Muto, MD

3:20PM – 3:40PM Syringomyelia: Chiari vs SIH Marcus Stoodley, MD, PhD
3:40PM – 4:00PM Spinal cord herniation: idiopathic vs SIH Hans Amelink, MD

4:00PM – 4:20PM Superficial siderosis: cerebral amyloid angiopathy vs SIH Jürgen Beck, MD
4:20PM – 5:00PM Afternoon Q&A

Sunday, June 29, 2025

8:50AM – 9:00AM Hello Again Jürgen Beck, MD Peter G. Kranz, MD

CONTROVERSIES IN SPONTANEOUS INTRACRANIAL HYPOTENSION Moderator: Ajay Madhavan, MD and Ian Mark, MD

9:00AM – 9:25AM Dynamic CT myelography vs DSM Lalani Carlton Jones, MBBS Marcel Maya, MD
9:25AM – 9:50AM Non-directed epidural blood patch vs directed treatment Timothy J. Amrhein, MD J. Levi Chazen, MD

9:50AM – 10:30AM Surgical ligation vs endovascular embolization vs percutaneous fibrin sealant (titanium vs rubber vs glue) Jürgen Beck, MD Thien Huynh, MD Mark D. Mamlouk, MD

10:30AM – 11:00AM Abstract Poster Showcase and Break

11:00AM – 11:25AM Treat without confirmation vs treat with confirmation Wouter I. Schievink, MD Ian Carroll, MD, MS

INTERNATIONAL COOPERATION FOR SPONTANEOUS INTRACRANIAL HYPOTENSION Moderator: Daniel Scoffings, MBBS

11:25AM – 11:45AM The International Society for Spinal CSF Leak (ISSCL) Peter G. Kranz, MD
11:45AM – 12:15PM Morning Q&A

12:15PM – 1:15PM Lunch

POST-DURAL PUNCTURE HEADACHE Moderator: Ian Carroll, MD, MS

1:15PM – 1:35PM The basis of PDPH Alexandra Schyns Van Den Berg, MD
1:35PM – 1:55PM Prevention of PDPH Lisa L.R. Leffert, MD

1:55PM – 2:15PM Percutaneous treatment of PDPH (incl 360 patch) Timothy J. Amrhein, MD

2:15PM – 2:30PM Surgical treatment of PDPH Jürgen Beck, MD

2:30PM – 3:00PM Break 

SKULL BASE CSF LEAKS Moderator: Dennis M. Tang, MD

3:00PM – 3:15PM Physiology of skull base vs spinal CSF leaks Peter G. Kranz, MD
3:15PM – 3:30PM Glymphatics in SIH Horst Urbach, MD

3:30PM – 3:45PM Prevention of skull base CSF leaks John Yu, MD

3:45PM – 4:00PM Treatment of skull base CSF leaks Ray Chu, MD

4:00PM – 4:30PM Afternoon Q&A

FINAL SIH ISSUES Moderator: Katharina Wolf, MD

4:30PM – 5:00PM Pressing issues in SIH Andrew L Callen, MD
5:00PM – 5:15PM Best of poster 1: Predictive Value Of Negative Brain Or Low Probability Brain Mris In Patients With Csf Venous Fistulas Angelique Tay, MD

5:15PM – 5:30PM Best of poster 2: Endoscopic Sealing Of Ventral Dural Defect With Transforaminal Approach: A Novel Methods And Outcomes Mi Ji Lee, MD, PhD

5:30PM – 6:00PM Late breaking updates and wrap-up Wouter I. Schievink, MD Matthijs Brouwer, MD, PhD Jürgen Beck, MD Peter G. Kranz, MD