A new modified technique of dynamic CT myelography to detect dural tears in spontaneous intracranial hypotension.

Autor: Boto J; Division of Neuroradiology, Geneva University Hospital and Faculty of Medicine of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205 Geneva, Switzerland. Electronic address: jose.m.baiaoboto@hcuge.ch., Vargas MI; Division of Neuroradiology, Geneva University Hospital and Faculty of Medicine of Geneva, Rue Gabrielle-Perret-Gentil 4, 1205 Geneva, Switzerland.
Jazyk: angličtina
Zdroj: Journal of neuroradiology = Journal de neuroradiologie [J Neuroradiol] 2024 Mar; Vol. 51 (2), pp. 210-213. Date of Electronic Publication: 2023 Jul 26.
DOI: 10.1016/j.neurad.2023.07.004
Abstrakt: We propose a modified dynamic CT-myelography technique for patients with fast CSF leaks caused by ventral dural tears in order to reduce radiation exposure and complications. A fluoroscopy-guided lumbar puncture using an epidural anesthesia kit replaces a CT-guided lumbar puncture, and a smaller volume of less concentrated contrast media is used. This approach has advantages, including speeding up the procedure, reduced radiation exposure, and elimination of the risk of contrast injection into the epidural space.
Competing Interests: Declaration of Competing Interest All authors declare that they have no conflict of interest.
(Copyright © 2023 The Author(s). Published by Elsevier Masson SAS.. All rights reserved.)
Databáze: MEDLINE
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