Imaging of Cerebrospinal Fluid Leak

Bathla, Girish; Moritani, Toshio

doi:10.1053/j.sult.2015.12.002

Cited by 13 publications

(4 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…MR imaging is useful for detecting CSF leaks and is indicated to discriminate meningoencephalocele, which contains brain parenchyma and meninges in the herniated content, from meningocele, which only contains meninges in the herniated content [15,16,[44][45][46]. MR cisternography is a good indication for the localization of the CSF leak site in patients with multiple bone defects identified on CT scans [15].…”

Section: Ct Imaging Can Reveal Skull Base Fractures Causing Csf Leaks Identifying the Anatomic Location Of The Csf Leak Ismentioning

confidence: 99%

Predisposing conditions for bacterial meningitis in children: what radiologists need to know

et al. 2021

View full text Add to dashboard Cite

A variety of underlying diseases can predispose infants and children to bacterial meningitis (BM). For the diagnosis, treatment, and prevention of its recurrence, radiologists should be familiar with its predisposing conditions so that they can suggest the appropriate imaging approach. Predisposing conditions of BM can be broadly classified into two categories: infection spread from the adjacent tissue to the cerebrospinal fluid (CSF) space and immunodeficiency. Diseases in the former category are further divided according to regardless of whether there is a structural defect between the CSF space and the adjacent tissue. When a structural defect is suspected in a patient with BM, computed tomography (CT) of the head and magnetic resonance (MR) imaging are first-line imaging examinations. Radionuclide cisternography should be implemented as a second-line step to identify the CSF leak site. In patients with suspected parameningeal infection without any structural defect, such as sinusitis or otitis media/mastoiditis, CT or MR images can identify not only the disease itself but also the associated intracranial complications. The purpose of this article is to discuss the diagnostic approach and imaging findings associated with the variety of conditions predisposing patients to recurrent BM, focusing on the role of radiology in their management.

show abstract

Section: Ct Imaging Can Reveal Skull Base Fractures Causing Csf Leaks Identifying the Anatomic Location Of The Csf Leak Ismentioning

confidence: 99%

Predisposing conditions for bacterial meningitis in children: what radiologists need to know

et al. 2021

View full text Add to dashboard Cite

show abstract

“…27,28 Notably, the volume necessary for adequate intrathecal contrast is far lower than the dose shown to produce these adverse outcomes. 9,23,29 Intrathecal gadolinium-based agents were found to be safe in human studies, with studies demonstrating safe off-label use with follow-up after 4.2 years. 9,12,22,23,25,30 Recent studies suggest intrathecal gadobutrol is safe at a low dose of 0.5 mmol.…”

Section: More Invasive Investigation Intrathecal Gadolinium-enhanced ...mentioning

confidence: 99%

“…Importantly, these neurologic changes were not present at doses less than 3.3 mmol/g 27,28 . Notably, the volume necessary for adequate intrathecal contrast is far lower than the dose shown to produce these adverse outcomes 9,23,29 . Intrathecal gadolinium-based agents were found to be safe in human studies, with studies demonstrating safe off-label use with follow-up after 4.2 years 9,12,22,23,25,30 .…”

Section: More Invasive Investigationmentioning

confidence: 99%

Special MRI Techniques to Suss out Spontaneous Cerebrospinal Fluid Leaks

Yushvayev

Delman

Kirsch

2021

Topics in Magnetic Resonance Imaging

View full text Add to dashboard Cite

Anterior skull base cerebrospinal fluid (CSF) fistulas result from skull base osteodural defects, allowing subarachnoid space CSF to escape into pneumatized cavities such as the paranasal sinuses and nasal fossa. Precise localization, characterization, and effective treatment of CSF leaks is essential to prevent meningitis, treatment failure, or recurrence. Advances in magnetic resonance imaging have improved radiologists' ability to localize and characterize anterior skull base CSF fistulas. This article reviews new imaging techniques enabling diagnostic location of CSF fistulas, with an emphasis on magnetic resonance imaging-based techniques.

show abstract

“…This leakage of CSF may go unnoticed or manifest clinically as signs of intracranial hypotension [1][2][3]. The diagnosis is therefore sometimes very difficult because it is based on the one hand on the identification of the CSF and on the other hand on the identification of the breach through which this CSF leaks, hence the capital place of medical imaging in this diagnosis [4,5]. This LCS leak exposes patients to fatal complications such as severe purulent meningitis, brain abscesses, intra cranial empyemas [6,7].…”

Section: Introductionmentioning

confidence: 99%

Cerebrospinal Fluid Leakage (Liquorrhea) Management in Heads Traumas

Sylvain¹,

Pacome²,

Karim³

et al. 2021

IJN

View full text Add to dashboard Cite

Introduction. Liquorrhea is a leakage of cerebrospinal fluid (CSF) into an air cavity of the skull base through an osteomeningeal breach which can exit through nos and / or ear. Highlighting the breach and closing it is sometimes very difficult. The aim of this work was to study cerebrospinal fluid liquorrhea management in our work environment. Method. This was a retrospective study over 05 years (2010)(2011)(2012)(2013)(2014). We included any cases of liquorrhea managed in the neurosurgery department of Yalgado Ouédraaogo teacching hospital in Ouagadougou. Results. Thirty-five cases were included, they were 34 male and 1 female. The average age was 31.6 years. Liquorrhea was the reason for admission in 11 cases. Physical examination found rhinorrhea in 24 cases, otorrhea in 9 cases and oto-rhinorrhea in 2 cases. A fracture line was objectified one CT scan in all patients. This fracture line could explain the liquorrhea in 24 cases. Conservative treatment was performed in 33 cases. Two patients were opered. Outcome was favorable in 33 patients. One patient died of meningitis. Conclusion. Highlighting of the breach was difficult in our work context where CT-scan can provide good orientations. Treatment was essentially conservative; prognosis very often favorable except in the event of a complication such as meningitis.

show abstract

Imaging of Cerebrospinal Fluid Leak

Cited by 13 publications

References 38 publications

Predisposing conditions for bacterial meningitis in children: what radiologists need to know

Predisposing conditions for bacterial meningitis in children: what radiologists need to know

Special MRI Techniques to Suss out Spontaneous Cerebrospinal Fluid Leaks

Cerebrospinal Fluid Leakage (Liquorrhea) Management in Heads Traumas

Contact Info

Product

Resources

About