The Imaging Negative Brain in SIH: How I do it, by Dr. Peter Kranz
This talk about approaches to the imaging-negative brain in spontaneous intracranial hypotension (SIH) was given by Dr. Peter Kranz at the 2nd annual Spinal CSF Leak: Bridging the Gap Conference on November 2-3, 2024, in Aurora, Colorado.
This conference is a partnership between the Spinal CSF Leak Foundation and Dr. Andrew Callen and the University of Colorado Anschutz Medical Campus.
Please see our conference landing page for more about this event: https://spinalcsfleak.org/conferences...
0:00 - Disclaimer
1:09 - Key Questions for Imaging-Negative Cases
1:30 - Brain Imaging: Is It Really Normal?
3:49 - The Bern Score for Brain MRI
4:38 - Have I Done Enough Workup?
5:08 - CSF-Venous Fistulas and Studies
9:00 - Have I Considered Alternate Diagnoses?
12:23 - Should I Treat Anyway?
16:47 - Risks of Over-Treatment
17:39 - Final Thoughts on Negative Imaging