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Research ArticleSpineC

CT Myelography for the Planning and Guidance of Targeted Epidural Blood Patches in Patients with Persistent Spinal CSF Leakage

C.M. Wendl, F. Schambach, C. Zimmer and A. Förschler
American Journal of Neuroradiology March 2012, 33 (3) 541-544; DOI: https://doi.org/10.3174/ajnr.A2808
C.M. Wendl
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F. Schambach
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C. Zimmer
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A. Förschler
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    Fig 1.

    A, Example of a postmyelography CT revealing a cervical dural leak with circular accumulation of contrast medium in the spinal epidural space (white arrows). B, Targeted EBP in the same patient with epidural spreading of the blood-contrast mixture (unfilled white arrows).

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    Fig 2.

    Postmyelography CT showing an unilateral extradural spreading of contrast medium around the right nerve root L4 (white arrows).

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    Fig 3.

    A, Intracranial pachymeningeal thickening and contrast enhancement in a 31-year-old woman with symptoms of IHS (white arrows). B, Renormalization of the epidural enhancement 2 months after performing a targeted EBP (unfilled white arrows).

Tables

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  • Patient characteristics

    PatientAgeSexSite of CSF LeakageaSuspected Cause of CSF LeakInjected Volume of Blood (ml)
    134FL2/3Facet joint injection15
    241FL3/4Facet joint injection16
    339FL5/S1 L4/5 (second EBP)Peridural nerve therapy10 6
    431FC6/7Spontaneous20
    550FC5/6Spontaneous15
    647MC1/2Spontaneous10
    737ML4/5Spontaneous20
    • ↵a Site of the leak as identified by CT myelography.

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American Journal of Neuroradiology: 33 (3)
American Journal of Neuroradiology
Vol. 33, Issue 3
1 Mar 2012
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CT Myelography for the Planning and Guidance of Targeted Epidural Blood Patches in Patients with Persistent Spinal CSF Leakage
C.M. Wendl, F. Schambach, C. Zimmer, A. Förschler
American Journal of Neuroradiology Mar 2012, 33 (3) 541-544; DOI: 10.3174/ajnr.A2808

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CT Myelography for the Planning and Guidance of Targeted Epidural Blood Patches in Patients with Persistent Spinal CSF Leakage
C.M. Wendl, F. Schambach, C. Zimmer, A. Förschler
American Journal of Neuroradiology Mar 2012, 33 (3) 541-544; DOI: 10.3174/ajnr.A2808
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  • MR Myelography for Identification of Spinal CSF Leak in Spontaneous Intracranial Hypotension
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