Overlapping Syndromes in Spinal CSF Leak, by Dr. Illene Ruhoy

Dr. Ilene Ruhoy's presentation at the Spinal CSF Leak Conference focuses on the complex case study of a 37-year-old male patient experiencing a plethora of overlapping symptoms and conditions. Despite initial presentation for refractory migraines, the patient was also dealing with POTS, MCAS, hypermobile EDS, small fiber neuropathy, eosinophilic vasculitis, and several anatomical issues including a suspected tethered cord and May-Thurner syndrome. His treatment journey involved a variety of interventions, including multiple surgeries, pharmacological management, IVIG, and plasma exchange, highlighting the need for a multifaceted approach in addressing the numerous comorbidities impacting his quality of life. Dr. Ruhoy emphasizes the importance of ongoing surveillance and management of such conditions, as simple resolutions are often not achievable for complex patients.