Overpressure Digital Subtraction Cisternography and MR Cisternography in CSF Rhinorrhea

2015 ◽  
pp. 1244-1247
Author(s):  
Ajay K. Wakhloo ◽  
Ralf Siekmann ◽  
Vera van Velthoven ◽  
Martin Schumacher
Keyword(s):  
Digital Subtraction ◽  
Csf Rhinorrhea ◽  
Mr Cisternography

LOCALIZATION OF CEREBROSPINAL FLUID LEAKS BY GADOLINIUM-ENHANCED MAGNETIC RESONANCE CISTERNOGRAPHY

Neurosurgery ◽  
2008 ◽  
Vol 62 (3) ◽  
pp. 584-589 ◽  
Author(s):  
Kubilay Aydin ◽  
Ege Terzibasioglu ◽  
Serra Sencer ◽  
Altay Sencer ◽  
Yusufhan Suoglu ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Magnetic Resonance ◽  
Vital Signs ◽  
Imaging Method ◽  
Csf Rhinorrhea ◽  
Mr Cisternography ◽  
Csf Leakage ◽  
Dural Tears ◽  
Magnetic Resonance Cisternography ◽  
Csf Leaks

Abstract OBJECTIVE Intrathecal gadolinium (Gd)-enhanced magnetic resonance (MR) cisternography is a newly introduced imaging method. Two main objectives of this study were to investigate the sensitivity of Gd-enhanced MR cisternography for presurgical localization of cerebrospinal fluid (CSF) leaks in patients with CSF rhinorrhea and to study the potential long-term adverse effects of intrathecal Gd application. METHODS Fifty-one patients (19 women; mean age, 36.2 yr) with CSF rhinorrhea were included in the study. A total of 0.5 ml of Gd was injected into the lumbar subarachnoid space. T1-weighted MR cisternographic images were obtained to detect CSF leakage. The patient's neurological states and vital signs were recorded for the first 24 hours after the procedure. Neurological evaluations were repeated 1, 3, and 12 months after the procedure. The patients were followed for at least 3 years with annual neurological examinations. RESULTS Gd-enhanced MR cisternography demonstrated CSF leaks in 43 of the 51 patients. The sensitivity of Gd-enhanced MR cisternography for localization of CSF leaks was 84%. Forty-four patients underwent surgery to repair dural tears. Surgical findings confirmed the results of Gd-enhanced cisternography in 43 of the 44 patients who underwent surgery (98%). Eight patients with negative Gd-enhanced MR cisternography had no active rhinorrhea at the time of procedure, and seven of them did not need surgery. None of the patients developed an acute adverse reaction that could be attributed to the procedure. None of the patients developed any neurological symptoms or signs caused by intrathecal Gd injection during a mean follow-up period of 4.12 years. CONCLUSION Gd-enhanced MR cisternography is a sensitive and safe imaging method for detection of CSF leaks in patients with rhinorrhea.

T2-weighted vs. intrathecal contrast-enhanced MR cisternography in the evaluation of CSF rhinorrhea

2013 ◽  
Vol 54 (6) ◽  
pp. 698-701 ◽  
Author(s):  
Gaye Ecin ◽  
A Yusuf Oner ◽  
Nil Tokgoz ◽  
Murat Ucar ◽  
Sukru Aykol ◽  
...  
Keyword(s):  
Csf Rhinorrhea ◽  
Mr Cisternography ◽  
Contrast Enhanced

Abstract #1253: CSF Rhinorrhea: An Early Complication of a Medically Treated Macroprolactinoma

2015 ◽  
Vol 21 ◽  
pp. 303
Author(s):  
Amitha Padmanabhuni ◽  
Rachel Hopkins ◽  
Lawrence S Chin ◽  
Ruban Dhaliwal
Keyword(s):  
Early Complication ◽  
Csf Rhinorrhea

Long-Term Surgical Outcomes of Spontaneous CSF Rhinorrhea

2014 ◽  
Vol 75 (S 02) ◽  
Author(s):  
Z. Jiang ◽  
C. Mclean ◽  
C. Perez ◽  
S. Barnett ◽  
D. Friedman ◽  
...  
Keyword(s):  
Surgical Outcomes ◽  
Csf Rhinorrhea

Delayed CSF Rhinorrhea after Gamma Knife Radiosurgery with or Without Preceding Transsphenoidal Hypophysectomy for Pituitary Pathology

2016 ◽  
Vol 77 (S 01) ◽  
Author(s):  
Avital Perry ◽  
Christopher Graffeo ◽  
William Copeland ◽  
Kathryn Van Abel ◽  
Matthew Carlson ◽  
...  
Keyword(s):  
Gamma Knife ◽  
Gamma Knife Radiosurgery ◽  
Csf Rhinorrhea

CSF Rhinorrhea: The Case for Conservative Treatment with the Use of Acetazolamide

Skull Base ◽  
2007 ◽  
Vol 16 (S 2) ◽  
Author(s):  
A. Panagiotakopoulou ◽  
G. Skouras ◽  
A. Skouras
Keyword(s):  
Conservative Treatment ◽  
Csf Rhinorrhea
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