Cerebrospinal Fluid Leaks: Challenges in Localizing Spontaneous Spinal Leak Sites and Minimally Invasive Treatment

被引:0
作者
Sung, Jeffrey [1 ]
Lin, Matthew [2 ]
Giantini-Larsen, Alexandra [3 ]
Kim, Andrew [1 ]
Edasery, David [1 ]
Roytman, Michelle [1 ]
Strauss, Sara [1 ]
Schweitzer, Andrew D. [1 ]
Park, John K. [3 ,4 ]
Salama, Gayle [1 ]
机构
[1] NewYork Presbyterian Weill Cornell Med, Dept Radiol, New York, NY 10021 USA
[2] Weill Cornell Med Coll, New York, NY USA
[3] NewYork Presbyterian Weill Cornell Med, Dept Neurol Surg, New York, NY USA
[4] NewYork Presbyterian Queens Hosp, Dept Neurol Surg, Queens, NY USA
关键词
CSF-Venous fistula; Epidural blood patch; Epidural fibrin patch; Myelogram; Myelography; Spinal cerebrospinal fluid leak; Spinal longitudinal extradural collection; SPONTANEOUS INTRACRANIAL HYPOTENSION; EPIDURAL BLOOD PATCH; CT MYELOGRAPHY; CSF LEAKS; MENINGEAL DIVERTICULA; MR MYELOGRAPHY; IDENTIFICATION; ASSOCIATION; PREVALENCE; SIGN;
D O I
10.1016/J.wNeu.2024.03.114
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The confirmation of cerebrospinal fluid (CSF) leaks in the setting of spontaneous intracranial hypotension (SIH) by imaging involves a growing toolset of multimodal advanced spinal and skull base imaging techniques, for which exists a unique set of challenges for each CSF leak type. Furthermore, the repertoire of minimally invasive CSF leak treatment beyond nontargeted epidural blood patch administration has grown widely, with varied practices across institutions. This review describes current diagnostic imaging and treatment modalities as they apply to the challenges of CSF leak localization and management.
引用
收藏
页码:294 / 303
页数:10
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