Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

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

Research ArticleSPINE IMAGING AND SPINE IMAGE-GUIDED INTERVENTIONS

Diagnostic Performance of Renal Contrast Excretion on Early-Phase CT Myelography in Spontaneous Intracranial Hypotension

Derek S. Young, Timothy J. Amrhein, Jacob T. Gibby, Jay Willhite, Linda Gray, Michael D. Malinzak, Samantha Morrison, Alaattin Erkanli and Peter G. Kranz
American Journal of Neuroradiology November 2024, DOI: https://doi.org/10.3174/ajnr.A8435
Derek S. Young
aFrom the Department of Radiology (D.S.Y., T.J.A., T.G., J.W., L.G., M.D.M., G.K.), Duke University Medical Center, Durham, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Derek S. Young
Timothy J. Amrhein
aFrom the Department of Radiology (D.S.Y., T.J.A., T.G., J.W., L.G., M.D.M., G.K.), Duke University Medical Center, Durham, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Timothy J. Amrhein
Jacob T. Gibby
aFrom the Department of Radiology (D.S.Y., T.J.A., T.G., J.W., L.G., M.D.M., G.K.), Duke University Medical Center, Durham, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jay Willhite
aFrom the Department of Radiology (D.S.Y., T.J.A., T.G., J.W., L.G., M.D.M., G.K.), Duke University Medical Center, Durham, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Jay Willhite
Linda Gray
aFrom the Department of Radiology (D.S.Y., T.J.A., T.G., J.W., L.G., M.D.M., G.K.), Duke University Medical Center, Durham, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Linda Gray
Michael D. Malinzak
aFrom the Department of Radiology (D.S.Y., T.J.A., T.G., J.W., L.G., M.D.M., G.K.), Duke University Medical Center, Durham, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Michael D. Malinzak
Samantha Morrison
bDepartment of Biostatistics and Bioinformatics (S.M., A.E.), Duke University School of Medicine, Durham, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Samantha Morrison
Alaattin Erkanli
bDepartment of Biostatistics and Bioinformatics (S.M., A.E.), Duke University School of Medicine, Durham, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Peter G. Kranz
aFrom the Department of Radiology (D.S.Y., T.J.A., T.G., J.W., L.G., M.D.M., G.K.), Duke University Medical Center, Durham, North Carolina
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Peter G. Kranz
  • Article
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Kinsman KA,
    2. Verdoorn JT,
    3. Luetmer PH, et al
    . Renal contrast on CT myelography: diagnostic value in patients with spontaneous intracranial hypotension. AJNR Am J Neuroradiol 2019;40:376–81 doi:10.3174/ajnr.A5934 pmid:30655256
    Abstract/FREE Full Text
  2. 2.↵
    1. Behbahani S,
    2. Raseman J,
    3. Orlowski H, et al
    . Renal excretion of contrast on CT myelography: a specific marker of CSF leak. AJNR Am J Neuroradiol 2020;41:351–56 doi:10.3174/ajnr.A6393 pmid:31974082
    Abstract/FREE Full Text
  3. 3.↵
    1. Piechowiak EI,
    2. Bar L,
    3. Hani L, et al
    . Renal pelvis opacification on postmyelography computed tomography as an indicator for cerebrospinal fluid loss in spontaneous intracranial hypotension. Clin Neuroradiol 2022;32:529–36 doi:10.1007/s00062-021-01042-0 pmid:34170368
    CrossRefPubMed
  4. 4.↵
    1. Farb RI,
    2. O’Reilly ST,
    3. Hendriks EJ, et al
    . Spontaneous intracranial hypotension due to CSF-venous fistula: evaluation of renal accumulation of contrast following decubitus myelography and maintained decubitus CT to improve fistula localization. Interv Neuroradiol 2023:15910199231172627 doi:10.1177/15910199231172627 pmid:37211661
    CrossRefPubMed
  5. 5.↵
    1. Halkar R,
    2. Pettigrew R,
    3. Lipman C, et al
    . Rapid transit of tracer to the kidneys and urinary bladder in radionuclide cisternography. A sign of CSF leak. Clin Nucl Med 1997;22:121–23 doi:10.1097/00003072-199702000-00012 pmid:9031773
    CrossRefPubMed
  6. 6.↵
    1. Kranz PG,
    2. Gray L,
    3. Malinzak MD, et al
    . Spontaneous intracranial hypotension: pathogenesis, diagnosis, and treatment. Neuroimaging Clin N Am 2019;29:581–94 doi:10.1016/j.nic.2019.07.006 pmid:31677732
    CrossRefPubMed
  7. 7.↵
    1. Thielen KR,
    2. Sillery JC,
    3. Morris JM, et al
    . Ultrafast dynamic computed tomography myelography for the precise identification of high-flow cerebrospinal fluid leaks caused by spiculated spinal osteophytes. J Neurosurg Spine 2015;22:324–31 doi:10.3171/2014.10.SPINE14209 pmid:25555057
    CrossRefPubMed
  8. 8.↵
    1. Kranz PG,
    2. Luetmer PH,
    3. Diehn FE, et al
    . Myelographic techniques for the detection of spinal CSF leaks in spontaneous intracranial hypotension. AJR Am J Roentgenol 2016;206:8–19 doi:10.2214/AJR.15.14884 pmid:26700332
    CrossRefPubMed
  9. 9.↵
    1. Gibby JT,
    2. Amrhein TJ,
    3. Young DS, et al
    . Diagnostic yield of decubitus CT myelography for detection of CSF-venous fistulas. AJNR Am J Neuroradiol Epub ahead of print August 1, 2024 doi:10.3174/ajnr.A8330
    CrossRef
  10. 10.↵
    1. Kranz PG,
    2. Amrhein TJ,
    3. Schievink WI, et al
    . The “hyperdense paraspinal vein” sign: a marker of CSF-venous fistula. AJNR Am J Neuroradiol 2016;37:1379–81 doi:10.3174/ajnr.A4682 pmid:26869470
    Abstract/FREE Full Text
  11. 11.↵
    1. Kranz PG,
    2. Tanpitukpongse TP,
    3. Choudhury KR, et al
    . Imaging signs in spontaneous intracranial hypotension: prevalence and relationship to CSF pressure. AJNR Am J Neuroradiol 2016;37:1374–78 doi:10.3174/ajnr.A4689 pmid:26869465
    Abstract/FREE Full Text
  12. 12.↵
    Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia 2013;33:629–808 doi:10.1177/0333102413485658 pmid:23771276
    CrossRefPubMedWeb of Science
  13. 13.↵
    1. Nagesh CP,
    2. Devaraj R,
    3. Joshi G, et al
    . The importance of repeat digital subtraction myelography in the diagnosis of cryptogenic CSF-venous fistula causing spontaneous intracranial hypotension. Interv Neuroradiol 2021;27:727–32 doi:10.1177/1591019921991398 pmid:33525918
    CrossRefPubMed
  14. 14.↵
    1. Wagle S,
    2. Benson JC,
    3. Madhavan AA, et al
    . The clue is in the kidneys: greater renal contrast medium accumulation on ipsilateral side down CT myelogram after lateral decubitus digital subtraction myelogram as a predictor of laterality of cerebrospinal fluid leak. Clin Radiology 2023;78:e608–12 doi:10.1016/j.crad.2023.04.009 pmid:37225571
    CrossRefPubMed
PreviousNext
Back to top
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Diagnostic Performance of Renal Contrast Excretion on Early-Phase CT Myelography in Spontaneous Intracranial Hypotension
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
Derek S. Young, Timothy J. Amrhein, Jacob T. Gibby, Jay Willhite, Linda Gray, Michael D. Malinzak, Samantha Morrison, Alaattin Erkanli, Peter G. Kranz
Diagnostic Performance of Renal Contrast Excretion on Early-Phase CT Myelography in Spontaneous Intracranial Hypotension
American Journal of Neuroradiology Nov 2024, DOI: 10.3174/ajnr.A8435

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Diagnostic Performance of Renal Contrast Excretion on Early-Phase CT Myelography in Spontaneous Intracranial Hypotension
Derek S. Young, Timothy J. Amrhein, Jacob T. Gibby, Jay Willhite, Linda Gray, Michael D. Malinzak, Samantha Morrison, Alaattin Erkanli, Peter G. Kranz
American Journal of Neuroradiology Nov 2024, DOI: 10.3174/ajnr.A8435
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • MATERIALS AND METHODS
    • RESULTS
    • DISCUSSION
    • CONCLUSIONS
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Management Outcomes For VO Spine Biopsy
  • Cone Beam CT Myelography
  • Diagnostic Value of Brain WMH in SIH
Show more SPINE IMAGING AND SPINE IMAGE-GUIDED INTERVENTIONS

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire