1. Co-existing fast CSF leaks and CSF-venous fistulas on dynamic CT myelography
- Author
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Ajay A. Madhavan, MD, John C. Benson, MD, Jeremy K. Cutsforth-Gregory, MD, John D. Atkinson, MD, and Carrie M. Carr, MD
- Subjects
Dynamic CT myelography ,Lateral decubitus ,Fast CSF leak ,Extradural fluid collection ,CSF-venous fistula ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
Spontaneous intracranial hypotension can be caused by spinal dural tears or CSF-venous fistulas. It is rare for patients to have more than one type of leak at any given time. Here, we illustrate 3 examples of dural tears that co-existed with CSF-venous fistulas, with both being seen on dynamic CT myelography. To our knowledge, coexistent CSF-venous fistulas and dural tears have not been previously illustrated on dynamic CT myelography, even though this is one of the most commonly used modalities to work-up patients with CSF leaks. We discuss the clinical importance of the rare co-occurrence of these leaks with regard to diagnosis and treatment, as well as implications for understanding and classifying CSF leaks.
- Published
- 2022
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