Spontaneous Intracranial Hypotension: Diagnosis, CSF Leaks & Pitfalls | Ep. 001

Spontaneous intracranial hypotension (SIH) is surprisingly common but easily missed on overnight call. In this pilot episode of Window & Level, we walk through the complete imaging workup—from recognizing brain MRI findings to identifying CSF leak types and understanding management strategies. Perfect for radiology residents preparing for call. 🎓 GUEST:Dr. Michael Noeske, a PGY-5 radiology resident and aspiring neuroradiologist from Commerce, Michigan. Starting his neuroradiology fellowship at Corewell Health William Beaumont University Hospital in 2026, he brings expertise in intracranial hypotension.📚 KEY REFERENCES:- P. G. Kranz et al. Consensus Guidelines on Diagnostic Brain and Spine Imaging of Spontaneous Intracranial Hypotension (AJNR 2025)- M. D. Mamlouk, P.Y. Shen, P. Jun ,and M.F. Sedrak. Spontaneous Spinal CSF Leaks Stratified by Age, Body Mass Index, and Spinal Level (AJNR 2022)Just yesterday the latest AJNR issue featured a case series of multiple synchronous CSF fistulas: - A. A. Madhavan et al. Multiple Synchronous CSF-Venous Fistulas in Spontaneous Intracranial Hypotension: A Multi-Institutional Case Series (AJNR 2026)🎙️ ABOUT WINDOW & LEVEL:Your 15-20 minute radiology education. We break down complex imaging with clinical pearls, protocols, and interpretation tricks you can apply on your next shift. 🌟 OUR TEAM:Host: Dr. Genia GrikEditing & Creative Dev: Dr. Viacheslav LavshukCommunications & Promotion: Dr. Daria ZasorinaCreative Dev: Dr. Batyrkhan Abdrakhimov📱 CONNECT WITH US:Instagram: @windowandlevelX: /windowandlevelFacebook: /windowandlevel🔗 WATCH ON YOUTUBE: https://youtu.be/68GuyYBgT6M💬 QUESTION FOR YOU:What radiology topic or imaging finding do you find most challenging? Drop a comment below—your question might become our next episode!🔔 Subscribe for new episodes every two weeks.⚠️ DISCLAIMER:This podcast is for educational purposes only and does not constitute medical advice. Always consult with qualified healthcare professionals for patient care decisions. The views expressed are those of the hosts and guests and do not necessarily reflect the views of their affiliated institutions.#radiology #radiologyresident #neuroradiology #spontaneousintracranialHypotension #SIH #brainMRI #CSFleak #radiologyeducation #medicaleducation #radiologypodcast #medstudent #radiologypearls #MRIfindings #radiologycall #diagnosticradiology #radiologytraining #medicalimaging #radiologyfellowship