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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

OtherSpine Imaging and Spine Image-Guided Interventions

Localization of a Rapid CSF Leak with Digital Subtraction Myelography

J.M. Hoxworth, A.C. Patel, E.P. Bosch and K.D. Nelson
American Journal of Neuroradiology March 2009, 30 (3) 516-519; DOI: https://doi.org/10.3174/ajnr.A1294
J.M. Hoxworth
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A.C. Patel
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E.P. Bosch
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K.D. Nelson
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Abstract

SUMMARY: A 53-year-old woman with superficial siderosis underwent spinal MR imaging, which demonstrated a large cervicothoracic epidural fluid collection compatible with a CSF leak. Conventional and dynamic CT myelography failed to localize the dural tear because of rapid equilibration of myelographic contrast between the thecal sac and the extradural collection. The superior temporal resolution of digital subtraction myelography precisely localized the CSF leak preoperatively and led to the successful surgical correction of the dural tear.

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American Journal of Neuroradiology: 30 (3)
American Journal of Neuroradiology
Vol. 30, Issue 3
March 2009
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Cite this article
J.M. Hoxworth, A.C. Patel, E.P. Bosch, K.D. Nelson
Localization of a Rapid CSF Leak with Digital Subtraction Myelography
American Journal of Neuroradiology Mar 2009, 30 (3) 516-519; DOI: 10.3174/ajnr.A1294

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Localization of a Rapid CSF Leak with Digital Subtraction Myelography
J.M. Hoxworth, A.C. Patel, E.P. Bosch, K.D. Nelson
American Journal of Neuroradiology Mar 2009, 30 (3) 516-519; DOI: 10.3174/ajnr.A1294
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  • Azygos Vein Stenosis in Frontotemporal Dementia Sagging Brain Syndrome
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  • Mechanism of chronic iatrogenic CSF leak following dural puncture-ventral dural leak: case report
  • Conebeam CT as an Adjunct to Digital Subtraction Myelography for Detection of CSF-Venous Fistulas
  • Modified Dynamic CT Myelography for Type 1 and 2 CSF Leaks: A Procedural Approach
  • Surgical Ligation of Spinal CSF-Venous Fistulas after Transvenous Embolization in Patients with Spontaneous Intracranial Hypotension
  • Diskogenic Dural Defect Is the Reason for the Ventral Location of the Epidural Spinal Fluid Collection Seen in Superficial Siderosis
  • Diagnostic Yield of Lateral Decubitus Digital Subtraction Myelogram Stratified by Brain MRI Findings
  • Spinal CSF-Venous Fistulas in Morbidly and Super Obese Patients with Spontaneous Intracranial Hypotension
  • Safety of Consecutive Bilateral Decubitus Digital Subtraction Myelography in Patients with Spontaneous Intracranial Hypotension and Occult CSF Leak
  • Spine MRI in Spontaneous Intracranial Hypotension for CSF Leak Detection: Nonsuperiority of Intrathecal Gadolinium to Heavily T2-Weighted Fat-Saturated Sequences
  • Renal Excretion of Contrast on CT Myelography: A Specific Marker of CSF Leak
  • Spontaneous Intracranial Hypotension: A Systematic Imaging Approach for CSF Leak Localization and Management Based on MRI and Digital Subtraction Myelography
  • Spinal meningeal diverticula, spontaneous intracranial hypotension, and superficial siderosis
  • A classification system of spontaneous spinal CSF leaks
  • The "Hyperdense Paraspinal Vein" Sign: A Marker of CSF-Venous Fistula
  • False localizing sign of cervico-thoracic CSF leak in spontaneous intracranial hypotension
  • Beyond superficial siderosis: Introducing "duropathies"
  • When Should I Do Dynamic CT Myelography? Predicting Fast Spinal CSF Leaks in Patients with Spontaneous Intracranial Hypotension
  • Superficial siderosis associated with abundant {tau} and {alpha}-synuclein accumulation
  • Neuroimaging in Superficial Siderosis: An In-Depth Look
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More in this TOC Section

  • Management Outcomes For VO Spine Biopsy
  • Characteristics of SIH Type I Culprit Lesions
  • Advanced Imaging of Type 2 Spinal CSF Leaks
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