RT Journal Article SR Electronic T1 Identification of CSF fistulas by radionuclide counting. JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 823 OP 826 VO 11 IS 4 A1 Yamamoto, Y A1 Kunishio, K A1 Sunami, N A1 Yamamoto, Y A1 Satoh, T A1 Suga, M A1 Asari, S YR 1990 UL http://www.ajnr.org/content/11/4/823.abstract AB A radionuclide counting method, performed with the patient prone and the neck flexed, was used successfully to diagnose CSF rhinorrhea in two patients. A normal radionuclide ratio (radionuclide counts in pledget/radionuclide counts in 1-ml blood sample) was obtained in 11 normal control subjects. Significance was determined to be a ratio greater than 0.37. Use of radionuclide counting method of determining CSF rhinorrhea is recommended when other methods have failed to locate a site of leakage or when posttraumatic meningitis suggests subclinical CSF rhinorrhea.