Localization of cerebrospinal fluid leaks by gadolinium-enhanced magnetic resonance cisternography: a 5-year single-center experience

Neurosurgery
Kubilay AydinM Inan Turantan

Abstract

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. 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. 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 und...Continue Reading

References

Feb 1, 1989·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J M ChowM F Mafee
Nov 1, 1985·Radiology·G Di ChiroR A Brooks
Oct 1, 1983·The Laryngoscope·J I ParkW H Friedman
Mar 1, 1982·AJR. American Journal of Roentgenology·C ManelfeA Bonafé
Dec 1, 1996·Clinical Radiology·D B JohnsonA J O'Dwyer
Nov 20, 1997·Clinical Radiology·S E Hegarty, J S Millar
Jan 1, 1997·European Radiology·K E EberhardtW J Huk
Feb 24, 2001·Neuroradiology·R Wenzel, A Leppien
Nov 20, 2002·European Radiology·Werner ReicheWolfgang Reith
Jun 5, 2004·The Laryngoscope·D Richard LindstromTimothy L Smith
May 23, 2007·AJR. American Journal of Roentgenology·Andrés ArbeláezMauricio Castillo

❮ Previous
Next ❯

Citations

Jul 29, 2009·Klinische Neuroradiologie·Erich HofmannKonrad Schwager
Feb 26, 2013·The Journal of Clinical Investigation·Jeffrey J IliffHelene Benveniste
Sep 19, 2009·AJNR. American Journal of Neuroradiology·H SelcukC Islak
Jan 24, 2012·AJNR. American Journal of Neuroradiology·O Algin, B Turkbey
Sep 16, 2015·International Forum of Allergy & Rhinology·Gretchen M OakleyRichard R Orlandi
Jun 7, 2014·Insights Into Imaging·Merve Gulbiz Kartal, Oktay Algin
Apr 12, 2016·Seminars in Ultrasound, CT, and MR·Girish Bathla, Toshio Moritani
May 8, 2015·Neurochemical Research·Nadia Aalling JessenMaiken Nedergaard
Jan 3, 2013·Pediatrics International : Official Journal of the Japan Pediatric Society·Nalan KarabayirAltay Sencer
Jun 29, 2015·Otolaryngologic Clinics of North America·Salvatore V LabruzzoS James Zinreich
May 9, 2015·Radiologic Clinics of North America·Amit M Saindane
Mar 4, 2011·Neurosurgery·Maryam RahmanWilliam A Friedman
Aug 29, 2019·Current Opinion in Otolaryngology & Head and Neck Surgery·Noga LipschitzRavi N Samy
Sep 3, 2010·The Journal of the American Academy of Orthopaedic Surgeons·Michael T EspirituBruce V Darden
Jul 20, 2019·AJNR. American Journal of Neuroradiology·C S EdeklevP K Eide
Aug 27, 2019·Neuromodulation : Journal of the International Neuromodulation Society·Jonathan M HagedornTimothy R Deer
Dec 1, 2021·American Journal of Rhinology & Allergy·Michael XieDoron D Sommer

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.