Bridging the Gap 2025 registration is now open! This year's event is both virtual & FREE, with 4 talks that we hope advance shared understanding between physicians & patients. BTG is held in partnership with @AndrewCallenMD & @CUAnschutz. Learn more: https://t.co/e5u9ddRBBS

"𝐍𝐚𝐯𝐢𝐠𝐚𝐭𝐢𝐧𝐠 𝐏𝐞𝐝𝐢𝐚𝐭𝐫𝐢𝐜 𝐒𝐩𝐢𝐧𝐚𝐥 𝐂𝐒𝐅 𝐋𝐞𝐚𝐤: 𝐈𝐧𝐬𝐢𝐠𝐡𝐭𝐬 𝐢𝐧𝐭𝐨 𝐃𝐢𝐚𝐠𝐧𝐨𝐬𝐢𝐬 𝐚𝐧𝐝 𝐂𝐚𝐫𝐞" 𝐏𝐫𝐞𝐬𝐞𝐧𝐭𝐞𝐝 𝐛𝐲: 𝐃𝐫. 𝐌𝐞𝐬𝐡𝐚 𝐌𝐚𝐫𝐭𝐢𝐧𝐞𝐳, 𝐌𝐃 🚨 𝐅𝐑𝐄𝐄 𝗪𝗲𝗯𝗶𝗻𝗮𝗿 - 𝗥𝗲𝗴𝗶𝘀𝘁𝗲𝗿 𝗵𝗲𝗿𝗲: https://t.co/NqsTIIo6JF

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.

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 ⁦@PeterGKranz⁩10 myths ⁦@spinalCSFleak

🆕️🔓 Critical Reappraisal and Validation of the Bern Score System for Diagnosing Spontaneous Intracranial Hypotension ℹ️ The authors assessed both sensitivity and specificity in an East Asian cohort. ✒️ Soyoun Choi et al. #spinalCSFleak #CSFleak #SIH https://t.co/7szby7o4eY

How useful are probabilistic SIH scoring systems in daily practice? A source of ongoing debate! CSF leak expert @AjayMadhavanMD takes us through a pragmatic approach to cases & what his latest work adds to this 🤩 👏🏾@TheAJNR @spinalCSFleak @issclsociety https://t.co/Y8SL2ITt4R

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.

🚨Study supported by @spinalCSFleak https://t.co/5fH9S4NxrR🚨 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 @ConnieDelineMD #SpinalCSFLeak #SIH

"Histopathologic Analysis of 5 Patients with CSF-Venous Fistulas after Surgical Nerve Root Ligation and Resection" https://t.co/n5NnS669wF @The_ASSR

New study alert! Our team analyzed 100 patients with SIH and found that spine MRI diverticular patterns can reliably predict CSF-venous fistula (CVF) location — a crucial step toward more targeted & efficient myelography. Perhaps the holy grail of CVFs? https://t.co/Jv89HYIZQb

"Careful understanding and refinement of patient positioning in dynamic CT myelography ensures the performance of high-fidelity examinations with maximal diagnostic yield, decreasing the need for repeat studies and lumbar punctures." Video article by @AndrewCallenMD et al:

"CSF-Venous Fistula Transvenous Onyx Embolization: Evaluation of Onyx Migration into the CSF and Potential One-Way Physiology" https://t.co/lCivMwaiPM #OpenAccess #CSFLeak @iantmark; @Mayoradiology; @The_ASSR

5 new #CSFleak articles in 1 day! And others this week. Thank you @TheAJNR & @theAJNR_EIC for your support in spreading research on this subject! @TimAmrheinMD @iantmark @WouterSchievink @PeterGKranz @TroyHutchins3 @Niklas_Luetzen @ZanderCharlotte @marcelmaya @AndrewCallenMD

For patients who’d like to share their lived experience of spinal CSF leak, we are inviting perspectives via a short video that we plan to compile and show at BTG 2025. For topics and instructions, please see here: https://t.co/PVDIJsY1TW We look forward to sharing your voice.

This year's physician speakers who will discuss their latest research are: @WouterSchievink @JrgenBeck @AjayMadhavanMD @AndrewCallenMD Full agenda, talk titles, and registration here: https://t.co/e5u9ddRBBS We hope to see you there!

Patients with #SIH often wait years for a diagnosis—but not all wait equally. Our new @TheAJNR paper explores these disparities and what they mean for equitable neurologic care. Congrats to @Mariapuello18 for leading this project! https://t.co/GD8M1zAXBK

Seeing the unseen — that’s the challenge and the promise of imaging. My episode on Frame by Frame: Rethink Imaging explores “Detecting the Undetectable” and the evolving story of spinal CSF leaks. 🎧

Applications are open for Headache on the Hill 2026! No prior experience is required. Patients, caregivers, clinicians, & researchers are encouraged to apply. Kids are welcome too with a dedicated youth track! Apply https://t.co/MtvuFC4swq #HOH2026 #Migraine #PatientAdvocacy

���Our findings highlight the unreliability of current MRI diagnostics to detect patients with chronic PDPH, which must not lead to a mitigation of the diagnosis or a refusal of treatment.”

@parnian_habibi inaugural member of the #MarkLab studying #SIH #CSFLeaks with important work to highlight the challenges in diagnosis @MayoRadiology @issclsociety @csfleakinfo https://t.co/E9sLx9fv11