Supine Digital Subtraction Myelography for the Demonstration of a Dorsal Cerebrospinal Fluid Leak in a Patient with Spontaneous Intracranial Hypotension: A Technical Note

Authors

  • Michael Carstensen
  • Navjot Chaudhary
  • Andrew Leung
  • Wai Ng

DOI:

https://doi.org/10.3941/jrcr.v6i9.1002

Keywords:

spontaneous intracranial hypotension, digital subtraction myelography, CSF leak

Abstract

A patient with spontaneous intracranial hypotension due to a spinal cerebrospinal fluid (CSF) leak required localization of the leakage site prior to surgical management.  Conventional, computed tomography and prone digital subtraction myelography failed to localize the dural tear, which was postulated to be dorsally located.  We present here a digital subtraction myelographic approach to accurately localize a dorsal site of CSF leakage by injecting iodinated contrast via a lumbar drain with the patient in the supine position.

Author Biographies

Michael Carstensen

Radiology Resident

Department of Medical Imaging

Western University, Schulich School of Medicine and Dentistry

London, Ontario

Canada

Navjot Chaudhary

Neurosurgery Resident

Department of Neurosurgery

Western University, Schulich School of Medicine and Dentistry

London, Ontario

Canada

Andrew Leung

Associate Professor

Department of Medical Imaging

Western University, Schulich School of Medicine and Dentistry

London, Ontario

Canada

Wai Ng

Associate Professor

Department of Neurosurgery

Western University, Schulich School of Medicine and Dentistry

London, Ontario

Canada

Journal of Radiology Case Reports September 2012 issue - Supine Digital Subtraction Myelography for the Demonstration of a Dorsal Cerebrospinal Fluid Leak in a Patient with Spontaneous Intracranial Hypotension: A Technical Note by Carstensen et al.

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Published

2012-09-25

Issue

Vol. 6 No. 9 (2012)

Section

Neuroradiology

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