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

Research ArticleSpine Imaging and Spine Image-Guided Interventions

Sacral CSF-Venous Fistulas and Potential Imaging Techniques

I.T. Mark, P.P. Morris, W. Brinjikji, A.A. Madhavan, J.K. Cutsforth-Gregory and J.T. Verdoorn
American Journal of Neuroradiology December 2022, 43 (12) 1824-1826; DOI: https://doi.org/10.3174/ajnr.A7699
I.T. Mark
aFrom the Departments of Radiology (I.T.M., P.P.M., W.B., A.A.M., J.T.V.)
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P.P. Morris
aFrom the Departments of Radiology (I.T.M., P.P.M., W.B., A.A.M., J.T.V.)
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W. Brinjikji
aFrom the Departments of Radiology (I.T.M., P.P.M., W.B., A.A.M., J.T.V.)
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A.A. Madhavan
aFrom the Departments of Radiology (I.T.M., P.P.M., W.B., A.A.M., J.T.V.)
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J.K. Cutsforth-Gregory
bNeurology (J.K.C.-G.), Mayo Clinic, Rochester, Minnesota
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J.T. Verdoorn
aFrom the Departments of Radiology (I.T.M., P.P.M., W.B., A.A.M., J.T.V.)
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    FIG 1.

    Left S2 CVF in patient 1. A–C, Axial images from a flat left-side-down CTM after DSM show a CVF (arrows) that arises from a left S2 nerve sheath diverticulum that empties into the left internal iliac vein. These images were reconstructed into 0.625-mm-thick slices from the 50-keV monoenergetic reconstructions from DECT. D and E, Multiplanar reformatted images from the CTM highlight the CVF (arrows). F, Postprocedural frontal projection image from transvenous catheter Onyx (Covidien) embolization of the CVF. The left S2 vein (double-line arrow), left S3 vein (broken arrow), and the pelvic epidural venous plexus (solid arrow) are opacified.

  • FIG 2.
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    FIG 2.

    Right S3 CVF in patient 2. A and B, Axial images from a flat right-side-down CTM after DSM follow a CVF (arrows) that arises from a right S3 nerve sheath diverticulum and empties into the right internal iliac vein. These images were reconstructed into 0.625-mm-thick slices from the monoenergetic reconstructions from DECT. C, Reformatted image from the same examination better demonstrates the entire CVF (arrow). D, Right-side-down DSM frontal image with the patient in reverse Trendelenburg position shows the CVF (arrow).

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American Journal of Neuroradiology: 43 (12)
American Journal of Neuroradiology
Vol. 43, Issue 12
1 Dec 2022
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Sacral CSF-Venous Fistulas and Imaging Techniques
I.T. Mark, P.P. Morris, W. Brinjikji, A.A. Madhavan, J.K. Cutsforth-Gregory, J.T. Verdoorn
American Journal of Neuroradiology Dec 2022, 43 (12) 1824-1826; DOI: 10.3174/ajnr.A7699
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Cite this article
I.T. Mark, P.P. Morris, W. Brinjikji, A.A. Madhavan, J.K. Cutsforth-Gregory, J.T. Verdoorn
Sacral CSF-Venous Fistulas and Potential Imaging Techniques
American Journal of Neuroradiology Dec 2022, 43 (12) 1824-1826; DOI: 10.3174/ajnr.A7699

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