Research ArticleSpine Imaging and Spine Image-Guided Interventions
The “Hyperdense Paraspinal Vein” Sign: A Marker of CSF-Venous Fistula
P.G. Kranz, T.J. Amrhein, W.I. Schievink, I.O. Karikari and L. Gray
American Journal of Neuroradiology July 2016, 37 (7) 1379-1381; DOI: https://doi.org/10.3174/ajnr.A4682
P.G. Kranz
aFrom the Departments of Radiology (P.G.K., T.J.A., L.G.)
T.J. Amrhein
aFrom the Departments of Radiology (P.G.K., T.J.A., L.G.)
W.I. Schievink
cDepartment of Neurosurgery (W.I.S.), Cedars-Sinai Medical Center, Los Angeles, California.
I.O. Karikari
bNeurosurgery (I.O.K.), Duke University Medical Center, Durham, North Carolina
L. Gray
aFrom the Departments of Radiology (P.G.K., T.J.A., L.G.)

Abstract
SUMMARY: CSF-venous fistula is a recently reported cause of spontaneous intracranial hypotension that may occur in the absence of myelographic evidence of CSF leak. Information about this entity is currently very limited, but it is of potential importance given the large percentage of cases of spontaneous intracranial hypotension associated with negative myelography findings. We report 3 additional cases of CSF-venous fistula and describe the “hyperdense paraspinal vein” sign, which may aid in its detection.
ABBREVIATION:
- SIH
- spontaneous intracranial hypotension
- © 2016 by American Journal of Neuroradiology
In this issue
American Journal of Neuroradiology
Vol. 37, Issue 7
1 Jul 2016
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P.G. Kranz, T.J. Amrhein, W.I. Schievink, I.O. Karikari, L. Gray
The “Hyperdense Paraspinal Vein” Sign: A Marker of CSF-Venous Fistula
American Journal of Neuroradiology Jul 2016, 37 (7) 1379-1381; DOI: 10.3174/ajnr.A4682
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