Discover and read the best of Twitter Threads about #CSFleak

Most recents (4)

SEMINAL ARTICLE re: #ICD11 Chapter 08 - Diseases of the #NervousSystem 🧠

Study Title: The #leptomeninges as a critical organ for normal #CNS development and function: first patient and public involved systematic review of #arachnoiditis (chronic #meningitis). @PLOSONE

#CES- #CaudaEquina Syndrome
#DLM – Diseases of the #Leptomeninges
#ESI- #Epidural Steroid Injection
LM - #Leptomeninges
#LMF- #Leptomeningeal #Fibrosis
#NAA- #neuraxialanesthesia
PSR- PRISMA Systematic Review
#SAH- #Subarachnoid Hemorrhage
#SAS- #Subarachnoid Space

Key Findings:

1. A varyingly described, and poorly characterized #CNS disease called #arachnoiditis (aka #adhesivearachnoiditis) was exhaustively systematically-reviewed for the first time.
Read 27 tweets
1/”Now your mouth will drop when you see the cord compression we caused,” I said to my fellow looking at our targeted #bloodpatch CT, “But take a deep breath—that’s actually what we want.”
A #tweetorial about CSF leaks & blood patches! #medtwitter #CSFleak #neurotwitter #neurorad Image
2/Epidural blood patches (EBPs) have been around since the 60s. Blood was first injected in the epidural space to try to plug the leak in post-dural puncture HA. It has now been expanded to other CSF leaks. However, controlled studies are lacking & therefore methods vary greatly Image
3/No one is sure of how EBPs work. Some believe blood directly plugs the leak site. Other believe it’s a pressure effect--injected blood increases epidural pressure, squeezing the thecal sac like a stress ball, elevating subarachnoid CSF pressure to relieve low pressure HA. Image
Read 12 tweets
What is a spontaneous spinal CSF leak?

It’s so much more than a headache. It’s extremely debilitating.

When I experienced a CSF leak in 2014, I had to lie down all day every day for several months.

#leakweek2022 #csfleak #spinalCSFleak #SIH #headache…
Sometimes people are wrongly diagnosed with postural orthostatic tachycardia syndrome #POTS when it’s actually a spinal CSF leak.

I gave a short talk at the PoTS UK London Masterclass in December 2019

#leakweek2022 #CSFleak #spinalCSFleak #SIH #headache

I was interviewed for the National Migraine Centre HeadsUp Podcast about my experiences with a spontaneous spinal CSF leak (Series 2, Ep 6) to help educate healthcare professionals & patients

Sometimes a #CSFleak is misdiagnosed as chronic #migraine

#headache #SIH #leakweek2022
Read 4 tweets
1/CSF leaks are controversial Some say they are overdiagnosed, others underdiagnosed. How can you make sure you aren’t under or over diagnosing?
A #tweetorial about a brain MRI score for suspected CSF leaks #medtwitter #FOAMed #radres #neurorad #FOAMrad #csfleak @medtweetorials
With CSF leaks, everyone knows about brain sagging. But this can happen w/other pathologies, ie Chiari 1. Other findings can be seen on brain MRI in CSF leaks. But what are these findings? Are some findings more suggestive than others? Do more findings = ⬆️suspicion?
3/Dobrocky et al. looked at 9 quantitative & 7 qualitative signs seen on brain MRI in CSF leaks to see which are most important. Depending on type & # of findings, they developed a score to indicate what level of suspicion you should have for a leak.
Read 12 tweets

Related hashtags

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!