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
| العنوان: | 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 |
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| المؤلفون: | Richard I Farb, Sean T O’Reilly, Everardus J Hendriks, Philip W Peng, Eric M Massicotte, Yasmine Hoydonckx, Patrick J Nicholson |
| المصدر: | Interventional Neuroradiology. :159101992311726 |
| بيانات النشر: | SAGE Publications, 2023. |
| سنة النشر: | 2023 |
| مصطلحات موضوعية: | General Medicine |
| الوصف: | Purpose Presented here is a strategy of sequential lateral decubitus digital subtraction myelography (LDDSM) followed closely by lateral decubitus CT (LDCT) to facilitate cerebrospinal fluid (CSF)–venous fistula (CVF) localization. Materials and Methods This is a retrospective analysis of patients referred to our institution for evaluation of CSF leak. Patients with Type 1 and Type 2 leaks, and those not displaying MR brain stigmata of intracranial hypotension were excluded. All patients underwent consecutive LDDSM and LDCT. If the CVF was not localized on the first LDDSM–LDCT pair the patient returned for contralateral examinations. Images were reviewed for CVF and for accumulation of contrast within the renal pelvises expressed as a renal pelvis contrast score (RPCS) in Hounsfield units (HU). Results Twenty-two patients were included in this study. In 21 of 22 patients (95%) a CVF was identified yielding an RPCS for the LDDSM–LDCT pair ipsilateral to the CVF ranging from 71 to 423 with an average of 146 HU. An RPCS of the negative side LDDSM–LDCT pair contralateral to a CVF was available in 8 patients and averaged 51 HU. In 4 patients the initial bilateral LDDSM–LDCT pairs did not reveal the location of the CVF however in 3 of these 4 cases the CVF was revealed on a third LDDSM repeated ipsilateral to the higher RPCS. Conclusion The strategy of sequential LDDSM–LDCT coupled with evaluation of renal accumulation of contrast agent appears to improve the rate of CVF localization and warrants further evaluation. |
| تدمد: | 2385-2011 1591-0199 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::98c8240afc26f1949be30b24da64669e https://doi.org/10.1177/15910199231172627 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........98c8240afc26f1949be30b24da64669e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23852011 15910199 |
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