PT  - JOURNAL ARTICLE
AU  - Lützen, Niklas
AU  - Zander, Charlotte
AU  - Beck, Jürgen
AU  - Volz, Florian
AU  - Wolf, Katharina
AU  - El Rahal, Amir
AU  - Urbach, Horst
TI  - Advanced Imaging of Type 2 Spinal CSF Leaks with Ultra-High-Resolution Conebeam CT Myelography
AID  - 10.3174/ajnr.A8675
DP  - 2025 Jun 26
TA  - American Journal of Neuroradiology
4099  - http://www.ajnr.org/content/early/2025/06/26/ajnr.A8675.short
4100  - http://www.ajnr.org/content/early/2025/06/26/ajnr.A8675.full
AB  - Type 2 CSF leaks are spinal lateral dural tears, causing spontaneous intracranial hypotension. They may be visualized with digital subtraction myelography, conebeam CT myelography, and energy-integrating detector or photon-counting CT myelography. A recently introduced ultra-high-resolution conebeam CT myelography has shown beneficial visualization of CSF-venous fistulas, another cause of spontaneous intracranial hypotension. However, the use of this technique has not yet been reported in imaging of type 2 leaks. In this technical report, we describe our first experiences and highlight the advantages of ultra-high-resolution conebeam CT for visualizing type 2 leaks in spontaneous intracranial hypotension.CBCTconebeam CTDSMdigital subtraction myelographySIHspontaneous intracranial hypotensionUHR-CBCTultra-high-resolution conebeam CT