Intracranial Hypotension: The Duke Experience

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Intracranial Hypotension: The Duke Experience SATURDAY, MARCH 23, 2019 7:30 A.M. TO 12:15 P.M. RENAISSANCE RALEIGH NORTH HILLS HOTEL Course Director: Linda Gray Leithe, MD Space is limited, and registration for the course is required. To register, see included registration form.

Intracranial Hypotension: The Duke Experience This ½-day multidisciplinary course on Intracranial Hypotension secondary to spinal cerebrospinal fluid (CSF) leak is intended to inform local neurologists, headache specialists, and other health care professionals including neurosurgeons, anesthesiologists, neuroradiologists, and pain management physicians about the varied presentations and the current state of diagnosis and treatment for this disorder. Intracranial Hypotension can present as migraine, chronic migraine, new daily persistent headache, and Chiari I malformations and can be iatrogenic in origin as can be seen with lumbar punctures, epidural catheter placement and epidural injections. The approach to the diagnosis with CT guided lumbar puncture, myelogram, and minimally invasive techniques including fibrin glue and bloodpatching as well as indications for surgical intervention will be discussed. Invited speakers include neuroradiology, neurology-ophthalmology, neurosurgery, and orthopedic surgery. If you have cases you would like to have discussed during a last session, send cases for consideration ahead of time to Dr. Gray Leithe at linda.leithe@duke.edu. Educational Objectives Describe the clinical presentation of patients with Spontaneous Intracranial Hypotension (SIH). Recognize MR and myelographic imaging findings suggestive of SIH Identify minimally invasive and surgical treatment of SIH secondary to CSF leaks FACULTY Timothy J. Amrhein, MD Assistant Professor of Radiology Christopher R. Brown, MD Associate Professor Department of Orthopaedic Spine Surgery Deborah I. Friedman, MD, MPH Professor of Neurology & Neurotherapeutics and of Ophthalmology Director, Headache and Facial Pain Program Chair, Intracranial Pressure Disorders Integrated Project Team UTSouthwestern Medical Center Dallas, TX Linda Gray Leithe, MD Associate Professor of Radiology Isaac O. Karikari, MD Assistant Professor of Neurosurgery Department of Neurosurgery Peter G. Kranz, MD Associate Professor of Radiology Michael D. Malinzak, MD, PhD Medical Instructor of Radiology

REGISTRATION FEES RECEIVED BY 3/15/19 Physicians $75 Residents/Fellows $60 Nurses/Technologists/PAs/NPs $40 RECEIVED AFTER 3/15/19 Physicians $95 Residents/Fellows $80 Nurses/Technologists/PAs/NPs $50 COURSE LOCATION Renaissance Raleigh North Hills Hotel 4100 Main at North Hills Street Raleigh, NC 27609 REGISTER TODAY! Registrations may be submitted by fax or mail, and payment may be made by check, Visa, or MasterCard. To register, see included registration form. If you have a question regarding the course or registration, please call 919-684-7228. MAIL PAYMENT Make checks payable to Duke University, and mail to: Duke University, Box 3808 Attn: Deborah Griffin 2301 Erwin Road 27710

AGENDA 7:30 A.M. Opening Remarks & Breakfast 7:45 A.M. Clinical Presentations of CSF Pressure Problems Deborah Friedman, MD 8:15 A.M. Diagnostic Studies for Detecting and Diagnosing CSF Leaks Peter Kranz, MD 8:45 A.M. Minimally Invasive Methods for Treating CSF Leaks Linda Gray Leithe, MD 9:15 A.M. Diagnosis and Treatment of Postpatch Headaches Michael Malinzak, MD, Phd 9:45 A.M. Research Trials Timothy Amrhein, MD 10:15 A.M. Q&A Break 10:30 A.M. Surgical Treatment of Disc Induced CSF Leaks Christopher Brown, MD 11:00 A.M. Surgical Treatment of CSF Leaks Secondary to Dural Defects and CSF Venous Fistulas Isaac Karikari, MD 11:30 A.M. Case Presentations 12 Noon Q&A 12:15 P.M. Adjourn COURSE INFORMATION JOINT ACCREDITATION STATEMENT In support of improving patient care, the Duke University Health System Department of Clinical Education and Professional Development is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME), to provide continuing education for the health care team. EDUCATION CREDITS Duke University Health System Department of Clinical Education and Professional Development designates this live activity for a maximum of 4.25 AMA PRA Category 1 Credit(s) TM. Physicians should claim only credit commensurate with the extent of their participation in the activity. Credit designation for technologists is pending. NURSE CE Duke University Health System Department of Clinical Education and Professional Development designates this activity for up to 4.25 credit hours for nurses. Nurses should claim only credit commensurate with the extent of their participation in the activity. TECHNOLOGIST CE Credit designation for technologists will be provided and are pending.

REGISTRATION FORM Intracranial Hypotension: The Duke Experience March 23, 2019 Renaissance Raleigh North Hills Hotel Name: Degree(s): Institution: Email: Address: City/State/Zip: RECEIVED BY 3/15/19 Physicians $75 Residents/Fellows $60 Nurses/Technologists/PAs/NPs $40 RECEIVED AFTER 3/15/19 Physicians $95 Residents/Fellows $80 Nurses/Technologists/PAs/NPs $50 Payment method: Visa/MasterCard Check Make checks payable to Duke University Mail checks to: Debbie Griffin, Box 3808, DUMC, 27710 Credit Card #: Expiration: / CVV code: Billing address for card: Amount Paid: Fax to 919-684-7127 Refund Policy There is a $25 administrative fee for cancellations. There are no refunds after March 20, 2019. Cancellation Policy Duke University Health System reserves the right to cancel or reschedule programs due to circumstances beyond its control or to close registration when programs are full. Duke University Health System is not responsible for penalties incurred as a result of cancelled transportation costs.