RT Journal Article SR Electronic T1 CT Myelography for the Planning and Guidance of Targeted Epidural Blood Patches in Patients with Persistent Spinal CSF Leakage JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 541 OP 544 DO 10.3174/ajnr.A2808 VO 33 IS 3 A1 C.M. Wendl A1 F. Schambach A1 C. Zimmer A1 A. Förschler YR 2012 UL http://www.ajnr.org/content/33/3/541.abstract AB SUMMARY: Intracranial hypotension is a rare cause of persistent headache mostly originating from a dural CSF leak. If a conservative treatment fails, a minimally invasive EBP can lead to a successful sealing of such a leak. Independent of the leakage site, an EBP is usually applied at the lumbar level with varying success. We used CT myelography to detect the site of the dural leakage, then immediately applied a targeted EBP at the corresponding level to patch the leak. Seven patients from our clinic were treated with a single targeted EBP in the lumbar or cervical spine. Within 24 hours, 6 patients experienced a considerable relief of symptoms; 1 patient went into remission after a repeat procedure. Our preliminary data suggest that a CT-guided, CT myelography-assisted targeted EBP is a safe and effective treatment for persistent spinal CSF leaks. EBPepidural blood patchIHSintracranial hypotension syndromeLPlumbar punctureSDHsubdural hematoma