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DOI: 10.1055/s-0044-1779629
Management of Spontaneous Spinal CSF Leaks Using Noninvasive Dynamic MR Neurography: A Case Series
Autor*innen
Abstract
Spontaneous spinal cerebrospinal fluid (CSF) leak presents with orthostatic headache and may lead to formation of subdural collection. Invasive magnetic resonance imaging or computed tomography myelography is routinely used to detect these leaks. Noninvasive dynamic magnetic resonance neurography can also detect these leaks and confirm its resolution post treatment. It includes three-dimensional NerveView, a high-resolution short-tau inversion recovery sequence for better visualization of spinal nerves and leak sites. This article showcases the diagnostic and therapeutic journey of three patients with spontaneous spinal CSF leak all of whom were diagnosed with dynamic magnetic resonance neurography and treated successfully with autologous targeted epidural blood patch. In one case, epidural blood patch was repeated after 2 months for recurrence of the leak.
Keywords
spontaneous spinal CSF leaks - subdural hematoma - dynamic MR Neurogram - epidural blood patch - spontaneous intracranial hypotension - meningeal diverticula - CSF-venous fistula - orthostatic headacheInformed Consent
Informed consent was obtained from all individual participants to use MRI or CT images included in the study. Identifying information regarding participants is not included in the study.
Publikationsverlauf
Artikel online veröffentlicht:
08. Februar 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
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