Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • ASNR Foundation Special Collection
    • Most Impactful AJNR Articles
    • Photon-Counting CT
    • Spinal CSF Leak Articles (Jan 2020-June 2024)
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • ASNR Foundation Special Collection
    • Most Impactful AJNR Articles
    • Photon-Counting CT
    • Spinal CSF Leak Articles (Jan 2020-June 2024)
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR is seeking candidates for the AJNR Podcast Editor. Read the position description.

Review ArticleSpine
Open Access

Lateral Decubitus Digital Subtraction Myelography: Tips, Tricks, and Pitfalls

D.K. Kim, W. Brinjikji, P.P. Morris, F.E. Diehn, V.T. Lehman, G.B. Liebo, J.M. Morris, J.T. Verdoorn, J.K. Cutsforth-Gregory, R.I. Farb, J.C Benson and C.M. Carr
American Journal of Neuroradiology January 2020, 41 (1) 21-28; DOI: https://doi.org/10.3174/ajnr.A6368
D.K. Kim
aFrom the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for D.K. Kim
W. Brinjikji
aFrom the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for W. Brinjikji
P.P. Morris
aFrom the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for P.P. Morris
F.E. Diehn
aFrom the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for F.E. Diehn
V.T. Lehman
aFrom the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for V.T. Lehman
G.B. Liebo
aFrom the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for G.B. Liebo
J.M. Morris
aFrom the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for J.M. Morris
J.T. Verdoorn
aFrom the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for J.T. Verdoorn
J.K. Cutsforth-Gregory
bNeurology (J.K.C.-G.), Mayo Clinic, Rochester, Minnesota
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for J.K. Cutsforth-Gregory
R.I. Farb
cDepartment of Medical Imaging (R.I.F.), Division of Neuroradiology, Toronto Western Hospital, Toronto, Ontario, Canada.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for R.I. Farb
J.C Benson
aFrom the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for J.C Benson
C.M. Carr
aFrom the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for C.M. Carr
  • Article
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Schievink WI
    . Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA 2006;295:2286–96 doi:10.1001/jama.295.19.2286 pmid:16705110
    CrossRefPubMedWeb of Science
  2. 2.↵
    1. Hoxworth JM,
    2. Trentman TL,
    3. Kotsenas AL, et al
    . The role of digital subtraction myelography in the diagnosis and localization of spontaneous spinal CSF leaks. AJR Am J Roentgenol 2012;199:649–53 doi:10.2214/AJR.11.8238 pmid:22915407
    CrossRefPubMedWeb of Science
  3. 3.↵
    1. Schievink WI,
    2. Moser FG,
    3. Maya MM, et al
    . Digital subtraction myelography for the identification of spontaneous spinal CSF-venous fistulas. J Neurosurg Spine 2016;24:960–64 doi:10.3171/2015.10.SPINE15855 pmid:26849709
    CrossRefPubMed
  4. 4.↵
    1. Farb RI,
    2. Nicholson PJ,
    3. Peng PW, et al
    . Spontaneous intracranial hypotension: a systematic imaging approach for CSF leak localization and management based on MRI and digital subtraction myelography. AJNR Am J Neuroradiol 2019;40:745–53 doi:10.3174/ajnr.A6016 pmid:30923083
    Abstract/FREE Full Text
  5. 5.↵
    1. Dobrocky T,
    2. Grunder L,
    3. Breiding PS, et al
    . Assessing spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension with a scoring system based on brain magnetic resonance imaging findings. JAMA Neurol 2019;76:580–87 doi:10.1001/jamaneurol.2018.4921 pmid:30776059
    CrossRefPubMed
  6. 6.↵
    1. Luetmer PH,
    2. Schwartz KM,
    3. Eckel LJ, et al
    . When should I do dynamic CT myelography? Predicting fast spinal CSF leaks in patients with spontaneous intracranial hypotension. AJNR Am J Neuroradiol 2012;33:690–94 doi:10.3174/ajnr.A2849 pmid:22194380
    Abstract/FREE Full Text
  7. 7.↵
    1. Hudgins PA,
    2. Fountain AJ,
    3. Chapman PR, et al
    . Difficult lumbar puncture: pitfalls and tips from the trenches. AJNR Am J Neuroradiol 2017;38:1276–83 doi:10.3174/ajnr.A5128 pmid:28302612
    Abstract/FREE Full Text
  8. 8.↵
    1. Postma AA,
    2. Das M,
    3. Stadler AA, et al
    . Dual-energy CT: what the neuroradiologist should know. Curr Radiol Rep 2015;3:16 doi:10.1007/s40134-015-0097-9 pmid:25815242
    CrossRefPubMed
  9. 9.↵
    1. Shuman WP,
    2. Chan KT,
    3. Busey JM, et al
    . Dual-energy CT aortography with 50% reduced iodine dose versus single-energy CT aortography with standard iodine dose. Acad Radiol 2016;23:611–18 doi:10.1016/j.acra.2015.12.019 pmid:26897602
    CrossRefPubMed
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 41 (1)
American Journal of Neuroradiology
Vol. 41, Issue 1
1 Jan 2020
  • Table of Contents
  • Index by author
  • Complete Issue (PDF)
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Lateral Decubitus Digital Subtraction Myelography: Tips, Tricks, and Pitfalls
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
D.K. Kim, W. Brinjikji, P.P. Morris, F.E. Diehn, V.T. Lehman, G.B. Liebo, J.M. Morris, J.T. Verdoorn, J.K. Cutsforth-Gregory, R.I. Farb, J.C Benson, C.M. Carr
Lateral Decubitus Digital Subtraction Myelography: Tips, Tricks, and Pitfalls
American Journal of Neuroradiology Jan 2020, 41 (1) 21-28; DOI: 10.3174/ajnr.A6368

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Lateral Decubitus Digital Subtraction Myelography: Tips, Tricks, and Pitfalls
D.K. Kim, W. Brinjikji, P.P. Morris, F.E. Diehn, V.T. Lehman, G.B. Liebo, J.M. Morris, J.T. Verdoorn, J.K. Cutsforth-Gregory, R.I. Farb, J.C Benson, C.M. Carr
American Journal of Neuroradiology Jan 2020, 41 (1) 21-28; DOI: 10.3174/ajnr.A6368
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • CONCLUSIONS
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • Density and Time Characteristics of CSF-Venous Fistulas on CT Myelography in Patients with Spontaneous Intracranial Hypotension
  • {beta}-Trace Protein as a Potential Biomarker for CSF-Venous Fistulas
  • Safety and Technical Performance of Bilateral Decubitus CT Myelography Using Standard versus Increased Intrathecal Iodinated Contrast Volume
  • CT-Guided Epidural Contrast Injection for the Identification of Dural Defects
  • Introduction to Digital Subtraction Myelography for CSF-Venous Fistula Detection
  • Clinical and imaging outcomes of 100 patients with cerebrospinal fluid-venous fistulas treated by transvenous embolization
  • Spinal CSF Leaks: The Neuroradiologist Transforming Care
  • Direct comparison of digital subtraction myelography versus CT myelography in lateral decubitus position: evaluation of diagnostic yield for cerebrospinal fluid-venous fistulas
  • Evaluation of MR Elastography as a Noninvasive Diagnostic Test for Spontaneous Intracranial Hypotension
  • Identifying Patients with CSF-Venous Fistula Using Brain MRI: A Deep Learning Approach
  • Lateral Decubitus Dynamic CT Myelography with Real-Time Bolus Tracking (dCTM-BT) for Evaluation of CSF-Venous Fistulas: Diagnostic Yield Stratified by Brain Imaging Findings
  • Likelihood of Discovering a CSF Leak Based on Intracranial MRI Findings in Patients without a Spinal Longitudinal Extradural Collection: A New Probabilistic Scoring System
  • Utility of Photon-Counting Detector CT Myelography for the Detection of CSF-Venous Fistulas
  • Utility of Photon-Counting Detector CT Myelography for the Detection of CSF-Venous Fistulas
  • Temporal Characteristics of CSF-Venous Fistulas on Digital Subtraction Myelography
  • Conebeam CT as an Adjunct to Digital Subtraction Myelography for Detection of CSF-Venous Fistulas
  • Sacral CSF-Venous Fistulas and Potential Imaging Techniques
  • Resisted Inspiration: A New Technique to Aid in the Detection of CSF-Venous Fistulas
  • Clinical and imaging outcomes of cerebrospinal fluid-venous fistula embolization
  • Utility of Dual-Energy CT to Improve Diagnosis of CSF Leaks on CT Myelography following Lateral Decubitus Digital Subtraction Myelography with Negative Findings
  • Spontaneous Spinal CSF Leaks Stratified by Age, Body Mass Index, and Spinal Level
  • Same-Day Bilateral Decubitus CT Myelography for Detecting CSF-Venous Fistulas in Spontaneous Intracranial Hypotension
  • A Novel Endovascular Therapy for CSF Hypotension Secondary to CSF-Venous Fistulas
  • Diagnostic Yield of Lateral Decubitus Digital Subtraction Myelogram Stratified by Brain MRI Findings
  • Decubitus CT Myelography for CSF-Venous Fistulas: A Procedural Approach
  • Time to Resolution of Inadvertent Subdural Contrast Injection during a Myelogram: When Can the Study Be Reattempted?
  • Safety of Consecutive Bilateral Decubitus Digital Subtraction Myelography in Patients with Spontaneous Intracranial Hypotension and Occult CSF Leak
  • Crossref (72)
  • Google Scholar

This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • Spontaneous intracranial hypotension: searching for the CSF leak
    Tomas Dobrocky, Patrick Nicholson, Levin Häni, Pasquale Mordasini, Timo Krings, Waleed Brinjikji, Jeremy K Cutsforth-Gregory, Ralph Schär, Christoph Schankin, Jan Gralla, Vitor M Pereira, Andreas Raabe, Richard Farb, Jürgen Beck, Eike I Piechowiak
    The Lancet Neurology 2022 21 4
  • A Novel Endovascular Therapy for CSF Hypotension Secondary to CSF-Venous Fistulas
    W. Brinjikji, L.E. Savastano, J.L.D. Atkinson, I. Garza, R. Farb, J.K. Cutsforth-Gregory
    American Journal of Neuroradiology 2021 42 5
  • Spontaneous intracranial hypotension: diagnostic and therapeutic workup
    Niklas Luetzen, Philippe Dovi-Akue, Christian Fung, Juergen Beck, Horst Urbach
    Neuroradiology 2021 63 11
  • CSF–Venous Fistulas: Anatomy and Diagnostic Imaging
    Peter G. Kranz, Linda Gray, Michael D. Malinzak, Jessica L. Houk, Dong Kun Kim, Timothy J. Amrhein
    American Journal of Roentgenology 2021 217 6
  • Decubitus CT Myelography for CSF-Venous Fistulas: A Procedural Approach
    M.D. Mamlouk, R.P. Ochi, P. Jun, P.Y. Shen
    American Journal of Neuroradiology 2021 42 1
  • Clinical and imaging outcomes of cerebrospinal fluid-venous fistula embolization
    Waleed Brinjikji, Ivan Garza, Mark Whealy, Narayan Kissoon, John L D Atkinson, Luis Savastano, Ajay Madhavan, Jeremy Cutsforth-Gregory
    Journal of NeuroInterventional Surgery 2022 14 10
  • Diagnostic Yield of Lateral Decubitus Digital Subtraction Myelogram Stratified by Brain MRI Findings
    Dong Kun Kim, Carrie M. Carr, John C. Benson, Felix E. Diehn, Vance T. Lehman, Greta B. Liebo, Jonathan M. Morris, P. Pearse Morris, Jared T. Verdoorn, Jeremy K. Cutsforth-Gregory, John L. D. Atkinson, Waleed Brinjikji
    Neurology 2021 96 9
  • CT-guided Fibrin Glue Occlusion of Cerebrospinal Fluid–Venous Fistulas
    Mark D. Mamlouk, Peter Y. Shen, Mark F. Sedrak, William P. Dillon
    Radiology 2021 299 2
  • Utility of Photon-Counting Detector CT Myelography for the Detection of CSF-Venous Fistulas
    A.A. Madhavan, L. Yu, W. Brinjikji, J.K. Cutsforth-Gregory, F.R. Schwartz, I.T. Mark, J.C. Benson, T.J. Amrhein
    American Journal of Neuroradiology 2023 44 6
  • Same-Day Bilateral Decubitus CT Myelography for Detecting CSF-Venous Fistulas in Spontaneous Intracranial Hypotension
    L. Carlton Jones, P.J. Goadsby
    American Journal of Neuroradiology 2022 43 4

More in this TOC Section

  • Bern Score Validity for SIH
  • MP2RAGE 7T in MS Lesions of the Cervical Spine
  • Resisted Inspiration for CSF-Venous Fistula
Show more Spine

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

Special Collections

  • AJNR Awards
  • ASNR Foundation Special Collection
  • Most Impactful AJNR Articles
  • Photon-Counting CT
  • Spinal CSF Leak Articles (Jan 2020-June 2024)

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire