![]() ![]() In cases where surgery is needed, our expert neurosurgeons will direct treatment.Īppointments can be made by your Kaiser Permanente doctor. This accuracy and precision can provide the best chances of sealing the spinal leak. Our team will determine the best imaging technique for each patient, being guided by evidence-based medicine.Īfter we identify the spinal CSF leak, we can perform targeted blood patches at the exact site of the spinal CSF leak, typically using the CT scanner for guidance. We also can perform specialized myelograms to identify CSF venous fistulas. These include various forms of CT myelography to diagnose fast or slow CSF leaks. Our multidisciplinary team is trained in advanced imaging techniques to diagnose spinal CSF leaks. As these are fistulas, they result in very fast CSF steal phenomenon. CSF-Venous fistula: This entity has recently been described and is an abnormal connection between a perineural diverticulum and a spinal vein.These are spinal outpouchings that result in fast or slow CSF leaks when ruptured. Ruptured perineural diverticula (cysts). ![]() These usually occur in the thoracic spine and result in fast CSF leaks. Mechanical tears from sharp discs in the spine.There are 3 main causes of spontaneous spinal CSF leaks: CSF leaks can often cause severe symptoms, but this condition is very treatable, and up to 98 of people with it will recover. CSF is vital to how your brain and spinal cord work, protecting and cushioning them from outside forces. Historically, this condition was thought to be rare, but the medical community now recognizes and better understands the condition. A cerebrospinal fluid leak (CSF) is when youre leaking the fluid that surrounds your brain and spinal cord. Clinical symptoms can vary but are often associated with positional headaches that are worse while upright and improve when lying down. The leaks can either be due to a prior medical procedure/surgery or they can be spontaneous, yielding the term spontaneous intracranial hypotension. Location: San Francisco, CA Scope of practice: Diagnosis, Treatment (Non-Invasive), Treatment (Percutaneous), Treatment (Surgical) Ages: 0+ Physicians: Vinil Shah, MD (Neuroradiology) William Dillon, MD (Neuroradiology) Maggie Waung (Headache Neurology) Leslie West (Neurology) Call or email Dr. In 2019, he was honored as a Physician of Excellence by St. Spinal CSF leaks stem from small holes in the outer layer of the spinal canal, which result in a loss of spinal fluid and low intracranial pressure. Addona has been named a Top Doctor in the NY Metro Area by Castle Connolly Medical Ltd. Our team will work with you to identify the correct diagnosis and treatment plan. There are 128 doctors who treat Cerebrospinal Fluid Leak in Stanford. Welcome to the Spinal Cerebrospinal Fluid (CSF) Leak Program at Kaiser Permanente in Northern California where we have an expert multidisciplinary team of physicians trained in seeing patients with spinal CSF leaks. ![]()
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