The Mystery Headache- Migraine, Positional Headache, Spinal Fluid Leak

Explore a comprehensive lecture on the often misdiagnosed condition of spontaneous intracranial hypotension, presented by Dr. Ian Carroll from Stanford University. Delve into the baffling symptoms of chronic migraine, including headache, nausea, neck stiffness, and tinnitus, which worsen throughout the day in an upright position but improve when lying down. Learn about the causes of spinal fluid leaks, diagnostic methods, and various treatment options such as epidural blood patches, fibrin sealant injections, and surgical interventions. Gain insights into the connection between connective tissue disorders and cerebrospinal fluid leaks, as well as the role of bone spurs in causing leaks. Understand the differences between post-dural puncture headaches and spontaneous leaks, and examine MRI findings associated with intracranial hypotension. Discover how this overlooked diagnosis can be effectively treated, potentially offering relief to those suffering from chronic, positional headaches.

Intro
A Call to Service
Diagnosis....
What Causes People to Leak?
Their connective tissue isn't "right"
Their connective tissue isn't right
How do you know your connective tissue isn't "right"?
Bone Spurs Cause leaks
Dye mixing with spinal fluid
PDPH VS. Spontaneous Leak
Symptoms
MR Findings of Intracranial Hypotension
Epidural Blood Patch
Lateral placement of Fibrin Sealant
Surgical Clipping of Dural Sleeve Leak
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