Spinal Cerebrospinal Fluid Leak Localization with Digital Subtraction Myelography: Tips, Tricks, and Pitfalls.
Radiol Clin North Am
; 62(2): 321-332, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-38272624
ABSTRACT
Cerebrospinal fluid (CSF) leak can cause spontaneous intracranial hypotension (SIH) which can lead to neurologic symptoms, such as orthostatic headache. Over time, imaging techniques for detecting and localizing CSF leaks have improved. These techniques include computed tomography (CT) myelography, dynamic CT myelography, cone-beam CT, MRI, MR myelography, and digital subtraction myelography (DSM). DSM provides the highest sensitivity for identifying leak sites and has comparable radiation exposure to CT myelography. The introduction of the lateral decubitus DSM has proven invaluable in localizing leaks when other imaging tests have been inconclusive.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Hipotensão Intracraniana
/
Vazamento de Líquido Cefalorraquidiano
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article