PT  - JOURNAL ARTICLE
AU  - Madhavan, Ajay A.
AU  - Kodet, Michelle L.
AU  - Brinjikji, Waleed
AU  - Mark, Ian T.
AU  - Schievink, Wouter I.
TI  - Conebeam CT Myelography for the Detection of Spinal CSF Leaks
AID  - 10.3174/ajnr.A8820
DP  - 2025 May 15
TA  - American Journal of Neuroradiology
4099  - http://www.ajnr.org/content/early/2025/05/15/ajnr.A8820.short
4100  - http://www.ajnr.org/content/early/2025/05/15/ajnr.A8820.full
AB  - Spinal CSF leaks are the primary cause of spontaneous intracranial hypotension, with the most common types of leaks including CSF-venous fistulas and dural tears.1 These leaks necessitate advanced myelographic techniques for accurate localization. Digital subtraction myelography is one such technique used at some institutions.2 Although digital subtraction myelography has excellent temporal and spatial resolution, it does not provide high-resolution cross-sectional images. Here, we describe our technique for conebeam CT myelography performed immediately after digital subtraction myelography, which generates high-resolution cross-sectional images.3⇓⇓-6 We illustrate how this technique enhances detection and characterization of some spinal CSF leaks.