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American Journal of Neuroradiology, Vol 19, Issue 4 627-631, Copyright © 1998 by American Society of Neuroradiology

ARTICLES

Cerebrospinal fluid fistula: detection with MR cisternography

T El Gammal, W Sobol, VR Wadlington, MJ Sillers, C Crews, WS Fisher 3rd and JY Lee
Department of Radiology, University of Alabama at Birmingham, 35233, USA.

PURPOSE: Our goal was to assess the role of MR cisternography in the examination of patients with suspected CSF rhinorrhea. METHODS: MR cisternography was performed as a heavily T2-weighted fast spin-echo study with fat suppression and video reversal of the images in 37 patients over a 3-year interval. Twenty-four of the patients subsequently had exploratory surgery for fistula. Statistical analysis of the surgical results was compared with the findings at MR cisternography. RESULTS: MR cisternography showed significant correlation with surgical findings, with sensitivity, specificity, and accuracy of 0.87, 0.57, and 0.78, respectively. CONCLUSION: MR cisternography proved to be an accurate diagnostic imaging technique in the evaluation of suspected CSF rhinorrhea.


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Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X