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Research ArticleBrain

Intrathecal Gadolinium-Enhanced MR Cisternography in the Evaluation of CSF Leakage

H. Selcuk, S. Albayram, H. Ozer, S. Ulus, G.Z. Sanus, M.Y. Kaynar, N. Kocer and C. Islak
American Journal of Neuroradiology January 2010, 31 (1) 71-75; DOI: https://doi.org/10.3174/ajnr.A1788
H. Selcuk
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S. Albayram
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H. Ozer
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S. Ulus
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G.Z. Sanus
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M.Y. Kaynar
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N. Kocer
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C. Islak
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    Fig 1.

    CSF rhinorrhea following head trauma in a 42-year-old woman. Coronal T1-weighted MR cisternogram obtained after intrathecal administration of gadopentetate dimeglumine (Gd-DTPA) shows contrast leakage (arrow) extending from the cranial subarachnoid space into the ethmoid air cell region from a defect in the right side of the cribriform plate.

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    Fig 2.

    CSF rhinorrhea in a 39-year-old man after sellar region surgery. A, Coronal thin-section CT scan reveals a defect in the right side of the sphenoid sinus (arrow) and opacification of the right sphenoid sinus. B and C, Coronal and axial T1-weighted fat-saturated MR cisternograms obtained after the intrathecal administration of Gd-DTPA show contrast leakage (arrows) extending from the cranial subarachnoid space into the right sphenoid sinus.

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    Fig 3.

    CSF rhinorrhea and otorrhea following head trauma in a 15-year-old adolescent boy. A, Axial thin-section CT scan shows a defect in the left petrous temporal bone (arrow) and opacification of the left middle ear cavity. B and C, Coronal and axial T1-weighted fat-saturated MR cisternograms show contrast leakage in the middle ear cavity and eustachian tube (arrows).

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    Fig 4.

    CSF rhinorrhea following head trauma in a 32-year-old woman. A–C, Axial, coronal, and left parasagittal T1-weighted fat-saturated MR cisternograms obtained after the intrathecal administration of Gd-DTPA show contrast leakage (arrows) extending from the cranial subarachnoid space into the left infratemporal fossa.

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    Fig 5.

    CSF rhinorrhea following head trauma in a 35-year-old man. A, Coronal thin-section CT scan reveals a defect in the roof of the sphenoid sinus (arrow) and opacification of the right sphenoid sinus. B, A coronal T1-weighted fat-saturated MR cisternogram obtained after the intrathecal administration of Gd-DTPA shows contrast leakage (arrow) extending from the cranial subarachnoid space into the right sphenoid sinus. C, After repair of the dural rupture, suspected CSF rhinorrhea recurred 1 week later and the patient underwent control MR cisternography. Images obtained in the first hour show probable leakage (arrow). D and E, Leakage becomes obvious in late images taken in the third and fifth hours (arrows).

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American Journal of Neuroradiology: 31 (1)
American Journal of Neuroradiology
Vol. 31, Issue 1
1 Jan 2010
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Cite this article
H. Selcuk, S. Albayram, H. Ozer, S. Ulus, G.Z. Sanus, M.Y. Kaynar, N. Kocer, C. Islak
Intrathecal Gadolinium-Enhanced MR Cisternography in the Evaluation of CSF Leakage
American Journal of Neuroradiology Jan 2010, 31 (1) 71-75; DOI: 10.3174/ajnr.A1788

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Intrathecal Gadolinium-Enhanced MR Cisternography in the Evaluation of CSF Leakage
H. Selcuk, S. Albayram, H. Ozer, S. Ulus, G.Z. Sanus, M.Y. Kaynar, N. Kocer, C. Islak
American Journal of Neuroradiology Jan 2010, 31 (1) 71-75; DOI: 10.3174/ajnr.A1788
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  • Detection of Cerebrospinal Fluid Leaks: Is There a Radiologic Standard of Care? A Systematic Review
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