"Histopathologic Analysis of 5 Patients with CSF-Venous Fistulas after Surgical Nerve Root Ligation and Resection" doi.org/10.3174/ajnr.A… American Society of Spine Radiology (ASSR)

American Society of Spine Radiology (ASSR) "This case series examines the histopathologic features of perineural tissues at the spinal level of CVFs across 5 patients with SIH who underwent surgical ligation and resection of the affected nerve root. Vascular alterations were found in all specimens."

🚨Study supported by Spinal CSF Leak Foundation doi.org/10.1111/head.1…🚨 Lumbar punctures are NO LONGER the standard for diagnosing spinal CSF leak! 📊 ~32% with SIH have NORMAL opening pressure. Symptoms + imaging now drive diagnosis. WouterSchievink Connie Deline #SpinalCSFLeak #SIH

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.

Anatomy of a lateral leak on CTM and 0.5 CISS

This remarkable video highlights how far neuroradiology has come since the first spinal CSFVF was imaged in 2014. Thanks to the skill and innovation of neuroradiologists, diagnosis and care for patients with CSF leaks has been transformed. Grateful to all advancing this field 🙏

🧠 Join the Canadian Headache Society’s HCP Webinar Series! Topic: Spontaneous Intracranial Hypotension (SIH) 📅 Nov 21, 2025 | 12–1pm EST 🎤 Dr. Farnaz Amoozegar Register 👉 bit.ly/43CuCy3 #Neurology #CME #Headache #SIH

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.

• Novel treatments — from targeted patching to endovascular embolization and minimally invasive surgery — are restoring lives that were once on hold. • Growing awareness of the risks and long-term effects of post-dural puncture leaks is improving patient safety everywhere.

If you’re a patient still searching for answers — or someone navigating any uncertain diagnosis — please remember: #DontLoseHope. The science is moving fast. Healing is possible. And you are not alone. 💙

#OnlineFirst: Unraveling the cause of microspurs in spontaneous intracranial hypotension type 1: discogenic origin or calcified Hofmann’s ligament? thejns.org/spine/view/jou…

It's a condition you may not have heard of - with truly devastating effects. Learn more about the reality of CSF leaks and why more research and funding is urgently needed. Watch the new documentary, which launches on 03 December via our YouTube channel. #CSFleak

Some lateral CSF leaks are diminutive but others are more sizable. Childhood orthostatic headaches and recent leg weakness. Imaging shows a lateral CSF leak from the left L1 nerve root that was caused by an aberrant artery of Adamkiewicz piercing the dura. ⁦Spinal CSF Leak Foundation⁩

🚨 New Paper Alert 🚨 Do you want to know more about rebound intracranial hypertension after CVF venous embolization? Read the latest from Duke Radiology DukeNeuroradiology ajnr.org/content/early/… ISSCL American Society of Spine Radiology (ASSR) Nicholas Befera MD

"This case underscores the importance of recognizing the interplay between congenital anomalies and acquired CSF pathology. substantial gaps remain in our understanding of CSF-lymphatic interactions, particularly in the context of congenital anomalies."

Spinal CSF Leak: Bridging the Gap 2025 is three days away! Registration & agenda here: bit.ly/BTGConf2025 This year's event, presented by Andrew L Callen MD & University of Colorado Anschutz in partnership with the Spinal CSF Leak Foundation is fully virtual & free. We hope to see you there!

"Reporting the Degree of Certainty of CSF-Venous Fistulas in Patients with Spontaneous Intracranial Hypotension: The Duke CSF-Venous Fistula Confidence Score" doi.org/10.3174/ajnr.A… AJNR American Society of Spine Radiology (ASSR) Tim Amrhein, MD Peter Kranz Duke Radiology

💥💥Hot off the presses!💥💥 Very important and practical expert consensus guidelines on diagnostic imaging in #SIH, from experts in radiology, neurosurgery, neurology, and anesthesiology. For everyone from experts to community practice. pubmed.ncbi.nlm.nih.gov/41266257/

Rapid growth over 2 years of an intradural mass in a young woman who is S/P 30+ lumbar punctures, 10+ blood patches, 2 bleb repairs, and 1 dural reduction surgery. The vast majority of patients with lumbar epidermoid tumors have a history of lumbar puncture ⁦Spinal CSF Leak Foundation⁩