2024 AANS Neurosurgical Topics for APPs - On-Demand-Highs and Lows: A Review of Intracranial Pressure Disorders

Highs and Lows: A Review of Intracranial Pressure Disorders - Shannon Duescher

Video Transcription

Video Summary

Shannon Duscher, head PA for neurosurgery at MedStar Georgetown University Hospital, discussed intracranial pressure disorders, focusing on cerebrospinal fluid (CSF) leaks and idiopathic intracranial hypertension (IIH). Shannon highlighted the significance of recognizing and managing CSF leaks, which can present variably with symptoms like headaches, nausea, and neurological issues due to spinal fluid escaping through unintended dural holes. She shared a patient story to describe the life-altering impacts of undiagnosed leaks. The talk covered diagnostic strategies, including MRI and CT myelography, to detect leaks and red flags like specific headache patterns and symptoms that should prompt further evaluation. Shannon also discussed diverse factors contributing to leaks, imaging strategies, and differentiation between CSF leaks and Chiari malformations. Treatment options include blood patches and surgical repairs tailored to the leak site. Regarding IIH, Shannon emphasized recognizing symptoms like papilledema and high pressure, with treatments like weight loss, medication, and potential surgical intervention. She highlighted the importance of specialized care centers for optimal patient outcomes in complex cases, responding to audience questions about shunt types and travel post-surgery.

Keywords

intracranial pressure disorders

cerebrospinal fluid leaks

idiopathic intracranial hypertension

diagnostic strategies

treatment options

specialized care centers

neurosurgery

MedStar Georgetown University Hospital