PLENARY IV: TREATMENT STRATEGIES BEYOND PERCUTANEOUS THERAPIES

- Embolization: Technique, pros and cons, to embolize or not to embolize, tips and tricks

  • Speaker: Dr. Eef Hendriks

- Surgical techniques for various leak types, tips, tricks, and pitfalls

  • Speaker: Dr. Stephan Duplessis

- Complex cases, imaging negative cases

  • Speaker: Dr. Wouter Schievink

- Minimally invasive surgery for spinal CSF leak, and challenges in Canada for SIH surgical treatment

  • Speaker: Dr. Eric Massicotte

- Rebound Intracranial Hypertension, other post-treatment complications, post-treatment recommendations

  • Speaker: Dr. Wouter Schievink 

Q&A - EMBOLIZATION AND SURGERY


 

Everardus (Eef) Hendriks MD

Dr. Everardus (Eef) Hendriks is Assistant Professor, Division of Neuroradiology , Department of Medical Imaging, University of Toronto, University Health Network, Toronto Western Hospital. Dr. Hendriks obtained his medical degree Cum Laude / With Honor in 2012 at the Radboud University Nijmegen, The Netherlands. During and after medical school, he successfully completed research fellowships in neuro-oncology at the University of San Francisco (UCSF) in 2009 and 2014, respectively. His diagnostic radiology training was completed at the VU University and Amsterdam Medical Center in Amsterdam between 2014 and 2019, with a special focus on neuro- and head and neck radiology.

He successfully completed a dedicated neuro- and head and neck radiology fellowship at the Amsterdam University Medical Centers in 2020, including endovascular thrombectomy training. After a 2-year dedicated clinical fellowship training in interventional neuroradiology at Toronto Western Hospital, he joined the Joint Department of Medical Imaging in February 2023, as assistant professor and staff interventional and diagnostic neuroradiologist. His clinical interests include neuroanatomy and neurovascular anatomy and imaging, training of interventional neuroradiology fellows, endovascular treatment of acute ischemic stroke, carotid stenting, cerebral aneurysms and dural arteriovenous fistula, endovascular treatment of idiopathic intracranial hypertension and
pulsatile tinnitus, head and neck embolization, diagnosis of spontaneous intracranial hypotension and endovascular treatment of CSF-venous fistula.


Stephan Du Plessis, MD, M.Med (Neurosurgery)

Dr. Stephan DuPlessis is a Clinical Associate Professor in the Division of Neurosurgery, Department of Clinical Neuroscience, at the University of Calgary. He earned his medical degree in 1990 and completed his residency in 1998 in South Africa. In 1999, Dr. DuPlessis completed combined neurosurgical and orthopedic spine fellowships at the University of Calgary. 

Dr. DuPlessis's research interests include technical aspects of minimally invasive spinal surgery, the design and development of motion preservation technology. Dr. DuPlessis specializes in complex cervical spine problems, intradural spinal pathologies and minimally invasive surgeries.

Dr DuPlessis is the medical director of the Neurosurgery Spine Triage and Assessment Clinic In Calgary and an active member of the Medical Advisory Board for Spinal CSF Leak Canada.


Wouter I. Schievink MD

Dr. Wouter I. Schievink is a Professor of Neurosurgery and Director of the Cerebrospinal Fluid Leak Program in the Department of Neurosurgery at Cedars-Sinai Medical Center in Los Angeles, California. Dr. Schievink specializes in the outcomes of complex cerebrovascular surgery, spontaneous intracranial hypotension (SIH)/spinal CSF leaks, extracellular matrix proteins in intracranial aneurysms, cervicocephalic arterial dissections, and models of intracranial aneurysms.

Dr. Schievink is a leading expert and widely published author on Spontaneous Cerebrospinal Fluid Leak Syndrome. He earned his medical degree from the University of Amsterdam Medical School in 1989 and completed his residency training at the Mayo Clinic in Rochester, Minnesota, in 1997. He then completed a cerebrovascular fellowship at the Barrow Neurological Institute in Phoenix, Arizona.

From 1998 to 2000, Dr.Schievink served as Assistant Professor of Neurological Surgery in the Department of Neurological Surgery at the UCI Medical Center in Irvine, California. He began his academic neurosurgical practice in 1997 at the Neurosurgical Institute at Cedars-Sinai Medical Center, where he continues to practice.

Dr. Schievink is an active member of the Medical Advisory Committee for Spinal CSF Leak Canada.


Eric Massicotte MD, MSc, MBA, FRCSC

Dr. Eric Massicotte is an Associate Professor in the Department of Surgery, and member of the Division of Neurosurgery at the Toronto Western Hospital. Dr. Massicotte was appointed medical director for two programs at Altum Health, Back & Neck (2015 to mpresent) and Concussion.(2016 to 2020) The latter was an innovation started in collaboration with Dr. Charles Tator. Dr. Massicotte clinical practice focuses on spine with research interests in outcome measures and medical education.

Dr. Massicotte is a graduate of the University of Ottawa School of Medicine in 1995, Dr. Massicotte entered the Neurosurgical Training Program at the University of Manitoba immediately after. He transitioned to the University of Toronto for his senior years. During his time in Manitoba Dr. Massicotte completed a Master in Science with the department of surgery. His research focused on white matter changes in the rat model under the supervision of Dr. Marc Del Bigio. He became a Fellow of the Royal College of Physicians and Surgeons of Canada in 2001. In order to further his interest in spine he under took a fellowship at the Toronto Western Hospital under the direction of Dr. Fehlings. The complex spine fellowship also provided him time with Dr. Lewis and Dr. Rampersaud.

Dr. Massicotte is an active member of the Medical Advisory Board and Neurosurgery consultant of the Scientific Committee for Spinal CSF Leak Canada.

 
 

Ian Carroll MD, MS

Dr. Ian Carroll is Associate Professor of Anesthesiology, Perioperative, and Pain Medicine, Chief, Stanford CSF Leak Headache Program , Stanford University School of Medicine, San Fransisco. In 2015 Dr. Carroll collaborated With Stanford's Neuroradiology and Neurology Headache divisions to create the Stanford CSF Leak Headache Program after his daughter suffered through an initially-undiagnosed CSF leak. This experience left him with a passion for helping patients experiencing CSF leaks around the world. He is board-certified in four different specialties: Headache Medicine by the United Council for Neurologic Subspecialties; Addiction Medicine by the American Board of Addiction Medicine; Pain Medicine by the American Board of Anesthesiology; and Anesthesiology by the American Board of Anesthesiology. His primary focus is on spinal cerebrospinal fluid (CSF) leaks. He has spoken at numerous national meetings on CSF leaks, management of the pain from nerve injuries, and factors influencing opioid cessation. He has conducted visiting professorships at Johns Hopkins University, Vanderbilt University, Yale University, University of California at Davis Medical Center, and others.

Dr. Carroll graduated summa cum laude and Phi Beta Kappa from Columbia University, and then graduated with an M.D. from Columbia University. He was a Research Fellow at the Experimental Immunology Branch at the National Cancer Institute at the National Institutes of Health in Bethesda Maryland. He completed his internship in Internal Medicine, residency in Anesthesiology, fellowship in Pain Medicine, and was elected Chief Resident of Anesthesiology from 2001-2002 at Stanford University Medical Center. He joined Stanford's Department of Anesthesiology as a primary teaching and research faculty in the Pain Management clinic in 2004.

Dr. Carroll completed Stanford's two-year Clinical Research training program earning a M.S. degree in clinical epidemiology from Stanford in 2006. He has published over 50 original articles including research funded by the Foundation for Anesthesia Education and Research (FAER); the National Institute for Drug Abuse (NIDA); and the Stanford Institute for Neuro-Innovation & Translational Neurosciences (SINTN).


In addition to his clinical and research responsibilities, Dr. Carroll helps select and train Stanford Anesthesia residents, Pain Management Fellows and Neurology Headache Fellows.

Dr. Carroll is an active member of the Medical Advisory Board for Spinal CSF Leak Canada and the American Spinal CSF Leak Foundation. He also serves as Consultant for the Scientific Committee of Spinal CSF Leak Canada.