Canadian SIH Conference May 4, 2024, Toronto + Virtual

CANADIAN CANADIAN SIH SIH

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WELCOME

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ABOUT THE CONFERENCE

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SPEAKERS

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PROGRAM PAGE 14 PAGE 15

SCIENTIFIC PLANNING COMMITTEE

PAGE 16 CONTACT

ACKNOWLEDGMENTS

HELLEN KELLER

Message from the Chair and Co-chair of the Scientific Planning committee:

Dear Colleagues and Participants,

As the Chair and the Co-Chair of the Scientific Committee, it is our honor to extend a warm welcome to each and every one of you on the first Canadian SIH Conference.

Spontaneous Intracranial Hypotension (SIH) is a debilitating condition that profoundly impacts the quality of life for those affected. Unfortunately, there exists a significant lack of awareness and understanding surrounding this ailment, not only in Canada but globally. This deficit in awareness translates into challenges in patient referral, diagnosis, and treatment, further exacerbating the burden on those already suffering.

Our conference represents a crucial step forward in addressing these challenges head-on. By convening some of the most brilliant minds in the field, both nationally and internationally, we aim to elevate awareness, foster knowledge exchange, and ultimately enhance the standard of care for Canadian patients grappling with SIH.

To our esteemed experts who have generously dedicated their time and expertise to this pivotal gathering, we extend our heartfelt gratitude. Your contributions are instrumental in advancing our collective understanding and improving patient outcomes.

To all attendees, your presence signifies a shared commitment to making meaningful strides in combating SIH. Your participation is invaluable, and we thank you for joining us on this important journey.

Together, let us forge new pathways towards greater awareness, knowledge, and care for those affected by SIH.

Sincerely,

YASMINE HOYDONCKX CHAIR, SCIENTIFIC COMMITTEE

FARNAZ AMOOZEGAR CO-CHAIR, SCIENTIFIC COMMITTEE

DR

DR

MARGARET MEAD

Message from Spinal CSF Leak Canada,

Spinal CSF Leak Canada is a national health charity run 100% by volunteers (some with personal CSF leak experience). Our vision is to improve the health and lives of individuals suffering from spinal CSF leak and to help equip the Canadian medical community to combat this condition.

Spinal CSF Leak Canada achieves its mission through supporting research, education, and advocacy relating to improvements to public policy. A large component of the organization’s efforts also consists of raising public awareness as well as awareness within the medical profession.

This unique gathering would not have been possible without the unwavering dedication of the scientific planning committee, as well as the support of our sponsors, and the invaluable contributions of our volunteers.

A heartfelt thank you from all of us at Spinal CSF Leak Canada,

Bahareh N. Cloutier Chair | Founder

www.spinalcsfleakcanada.ca

www.fuitespinalelcscanada.ca

ABOUT THE CONFERENCE

The Canadian SIH conference is organized by the Spinal CSF Leak Canada charity in affiliation with the department of Anesthesia and Pain Medicine, University of Toronto.

The conference is designed for multidisciplinary healthcare professionals, patients and other health consumers, featuring an international faculty with extensive experience in SIH.

This comprehensive event will cover various aspects of diagnosis and management of Spontaneous Intracranial Hypotension(SIH), and after active engagement in this program, participants will be better able to:

Identify clinical symptoms of SIH and applying that knowledge to make a clinical diagnosis of SIH.

Use appropriate Diagnostic Imaging to diagnose SIH.

Develop multiple approaches for treatment of SIH.

Recognize, diagnose and treat post-dural puncture headache (PDPH).

Apply post-treatment management and prevent/manage complications of chronic SIH.

Describe the Canadian experience and apply research updates from national and international perspectives.

All participants (in-person and virtual) will have the opportunity to actively engage in discussions and spend time in active learning, including roundtable discussions and dedicated Q&A sessions following each section of the conference.

This conference has been accredited for continuing medical education credits by the following medical societies:

College of Family Physicians of Canada Mainpro+® - Group Learning (One-credit-perhour)

This one-credit-per-hour Group Learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified by Continuing Professional Development, Temerty Faculty of Medicine, University of Toronto for up to 6.0 Mainpro+® credits.

Royal College of Physicians and Surgeons of Canada – Section 1

This event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by Continuing Professional Development, Temerty Faculty of Medicine, University of Toronto. You may claim up to a maximum of 6.0 hours (credits are automatically calculated).

American Medical Association - AMA PRA Category 1 Credit™

Through an agreement between the Royal College of Physicians and Surgeons of Canada and the American Medical Association, physicians may convert Royal College MOC credits to AMA PRA Category 1 Credits™. For more information on the process to convert Royal College MOC credit to AMA credits please see: https://www.ama-assn.org/education/earncredit-participation-international-activities

European Union for Medical Specialists (UEMS)

Live educational activities recognized by the Royal College of Physicians and Surgeons of Canada as Accredited Group Learning Activities (Section 1) are deemed by the European Union of Medical Specialists (UEMS) eligible for ECMEC®.

Thank you for joining us!

SPEAKERS

Farnaz Amoozegar MD, MSc, FRCPC

Clinical Associate Professor, Dept Clinical Neurosciences, Cumming School of Medicine, University of Calgary and Hotchkiss Brain Institute.

Waleed Brinjikji MD

Professor of Neurosurgery and Radiology and Neurointerventional Radiologist at the Mayo Clinic in Rochester Minnesota.

Ian Carroll MD, MS

Associate Professor of Anesthesiology, Perioperative, and Pain Medicine, Chief, Stanford CSF Leak Headache Program , Stanford University School of Medicine, San Fransisco.

Bahareh N. Cloutier

Chair | Founder of Spinal CSF Leak Canada.

Esma Dilli MD, FRCPC

Clinical assistant professor at the University of British Columbia. She has a certificate in medical education from Maastricht University and is passionate about medical education.

Richard Farb MD, FRCPC

Associate Professor, Division of Neuroradiology , Department of Medical Imaging, University of Toronto, University Health Network, Toronto Western Hospital.

Everardus (Eef) Hendriks MD

Assistant Professor, Division of Neuroradiology , Department of Medical Imaging, University of Toronto, University Health Network, Toronto Western Hospital.

Yasmine Hoydonckx MD, MSc, FIPP

Assistant Professor, University of Toronto, Staff Anesthesiologist and Pain Physician, Department of Anesthesiology and Pain Medicine University Health Network, Sinai Health and Women's College Hospital.

Peter G. Kranz M.D

Associate Professor, Chief, Neuroradiology Division, Department of Radiology, Duke University Medical Center, North Carolina.

Linda Gray Leithe MD

Associate Professor, Neuroradiology Division, Department of Radiology, Duke University Medical Center, North Carolina.

Eric Massicotte MD, MSc, MBA, FRCSC

Associate Professor University of Toronto, Staff Neurosurgeon, University Health Network, Medical Director, Back & Neck Program Altum Health.

Danny Adel Monsour MD, FRCPC Neurologist, Headache specialist, Toronto.

Wouter I. Schievink MD

Professor of Neurosurgery - Director, Cerebrospinal Fluid Leak Program - Department of Neurosurgery Cedars-Sinai Medical Center, Los Angeles.

Rosann Seviour MD, MSc, FRCPC

Specialist in Public Health and Preventive Medicine, Family Practice physician, St. John's, Newfoundland and Labrador.

Christian T. Ulrich PD, MD, FMH Neurosurgeon, Department of Neurosurgery Lindenhosfspital Bern, Switzerland.

SIR WILLIAM OSLER

8:00am-8:25am REGISTRATION & BREAKFAST

8:25am-8:30am

WELCOME REMARKS (Dr.Hoydonckx - Chair - Scientific Program Committee)

8:30am-9:30am SESSION 1: DIAGNOSIS OF SIH

FARNAZ AMOOZEGAR, MD | CO - CHAIR

8:30am-8:50am CLINICAL DIAGNOSIS OF SIH (Dr. Dilli)

8:50am-9:30am DIAGNOSTIC IMAGING

8:50am-9:00am MRI (Dr.Hendriks)

9:00am-9:10am DSM + different types of leaks (Dr. Farb)

9:10am-9:20am Photon counting CT (Dr. Brinjikji - virtual)

9:20am-9:30am CT myelogram (Dr. Kranz)

9:30am-9:50am

Q&A DIAGNOSIS (Moderator Dr. Monsour)

9:50am-10:20am MORNING BREAK

SESSION 2: TREATMENT OF SIH

10:20am – 12:05pm (Dr. Amoozegar - Co-chair - Scientific Program Committee)

10:20am-10:55am

PERCUTANEOUS TREATMENT

10:20am-10:30am Epidural blood patch (Dr.Hoydonckx)

10:30am-10:40am Percutaneous Use of Glue (Dr. Gray - virtual)

10:40am-10:55am

10:55am-11:15am

Long-term Epidural Patching Outcomes/The Problem of Persistant Headache (Dr. Carroll)

ENDOVASCULAR TREATMENT

10:55am-11:05am Endovascular embolization treatment (Dr. Hendriks)

11:05am-11:15am

FARNAZ AMOOZEGAR, MD | CO - CHAIR

11:15am-12:05pm

11:15am-11:30am

Outcomes on endovascular embolization treatment (Dr. Brinjikji- virtual)

NEUROSURGICAL TREATMENT

YASMIN HOYDONCKX, MD | CHAIR PHILIP PENG, MD | DIRECTOR

Surgical SIH treatment - Canadian perspective (Dr. Massicotte)

11:30am-11:45am Surgical SIH treatment - American perspective (Dr. Schievink)

11:45am-12:05pm Diagnosis and treatment of post-dural puncture headache (Dr. Ulrich)

12:05pm – 12:25pm

Q&A TREATMENT (Moderator Dr. Carroll)

12:25pm-1:20pm LUNCH

FARNAZ AMOOZEGAR, MD | CO - CHAIR

SESSION 3: CHALLENGES AND CONTROVERSIES IN SIH MANAGEMENT

1:20pm-1:50pm 1:20pm-1:30pm 1:30pm-1:50pm 1:30pm-1:40pm RIH and Post-Treatment Management (Dr. Kranz)

YASMIN

MULTIDISCIPLINARY CONSENSUS GUIDELINES FOR THE DIAGNOSIS AND MANAGEMENT OF SIH (BMJ (Dr. Hoydonckx)

HOYDONCKX, MD | CHAIR

PHILIP PENG, MD | DIRECTOR

REBOUND INTRACRANIAL HYPERTENSION (RIH) MANAGEMENT & COMPLICATIONS of CHRONIC SIH

1:40pm-1:50pm Complications of chronic SIH (Dr. Schievink)

1:50pm-2:00pm

2:00pm-2:40pm

Q&A POST- TREATMENT (Moderator Dr.Hoydonckx)

ROUND TABLE DISCUSSION WITH EXPERTS (Moderator Dr. Amoozegar)

2:40pm-3:00pm AFTERNOON BREAK

3:00pm – 3:55pm

3:00pm-3:40pm

Session 4: CANADIAN CARE EXPERIENCE & RESEARCH

CANADIAN CARE EXPERIENCE

3:00pm-3:10pm Challenges of GP in SIH care (Dr. Seviour)

3:10pm – 3:20pm Challenges of territory care in SIH care (Dr. Amoozegar)

3:20pm-3:40pm Navigating your SIH care - SIH patients’ journey (Mrs. Cloutier)

3:40pm-3:55pm

3:40pm-3:50pm

3:50pm-3:55pm

3:55pm-4:00pm

CANADIAN RESEARCH UPDATE

Results of national survey on SIH care in Canada (Dr. Hoydonckx)

Introduction of first national SIH database and Complex SIH case rounds (Dr. Amoozegar)

FARNAZ AMOOZEGAR, MD | CO - CHAIR

4:00pm-4:15pm

4:15pm-4:30pm

YASMIN HOYDONCKX, MD | CHAIR

SIH CARE IN CANADA: NEXT STEPS (Dr. Amoozegar)

PHILIP PENG, MD | DIRECTOR

Q&A RESEARCH (Moderator Dr. Hoydonckx)

CLOSING REMARKS (Mrs. Cloutier)

About Spinal CSF Leak Canada charity Awards Ceremony

Closing (Please complete and return evaluation forms)

“ If you’ve no sympathy for human pain the name human you cannot retain ”

(SAADI SHIRAZI)

SCIENTIFIC PLANNING COMMITTEE

Yasmine Hoydonckx MD, MSc, FIPP, Assistant Professor, University of Toronto, Staff Anesthesiologist and Pain Physician, Department of Anesthesiology and Pain Medicine University Health Network, Sinai Health and Women's College Hospital. Chair.

Farnaz Amoozegar MD, MSc, FRCPC, Clinical Associate Professor, Dept Clinical Neurosciences, Cumming School of Medicine, University of Calgary and Hotchkiss Brain Institute. Co-chair.

Philip Peng MD, MBBS, FRCPC, Founder (Pain Medicine), Professor, Department of Anesthesiology and Pain Management, UHN, Sinai Health Network, Women’s College Hospital, University of Toronto. Director.

Mrs. Bahareh N. Cloutier, Chair | Founder of Spinal CSF Leak Canada charity.

(Listed alphabetically)

Abeer Alomari, MD, Fellowship trained comprehensive pain management, interventional pain at university of Toronto. Board certified in physical medicine and rehabilitation.

Tasha Mary Haiduk MD, Family Doctors / G.P.s, East Kootenay, British Columbia.

Eef Hendriks MD, Assistant Professor, Division of Neuroradiology , Department of Medical Imaging, University of Toronto, University Health Network, Toronto Western Hospital.

Eric Massicotte MD,MSc, MBA, FRCSC, Associate Professor University of Toronto, Staff Neurosurgeon, University Health Network, Medical Director, Back & Neck Program Altum Health.

Rosann Seviour MD, MSc, FRCPC, Specialist in Public Health and Preventive Medicine, Family Practice physician, St. John's, Newfoundland and Labrador.

MAHATMA GANDHI

ACKNOWLEDGMENTS

The University of Toronto is not responsible for the linked content.

BAYER INC

FOOD, HEALTH & CONSUMER PRODUCTS OF CANADA

SCARGALL OWEN-KING LLP

SIEMENS HEALTHINEERS

MEDTRONIC

A HEARTFELT THANK YOU TO ALL OF OUR SPONSORS AND VOLUNTEERS FOR THEIR SUPPORT!

www.spinalcsfleakcanada.ca