Intrathecal Contrast-enhanced Computed Tomography and MR Cisternography for Skull Base Cerebrospinal Fluid Leaks and Other Intracranial Applications.
| Autor: | Scoffings DJ; Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK. Electronic address: daniel.scoffings1@nhs.net., Massoud TF; Division of Neuroimaging and Neurointervention, Department of Radiology, Stanford University School of Medicine, Center for Academic Medicine, MC: 5659, 453 Quarry Road, Palo Alto, CA 94304, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Neuroimaging clinics of North America [Neuroimaging Clin N Am] 2025 Feb; Vol. 35 (1), pp. 105-121. Date of Electronic Publication: 2024 Sep 24. |
| DOI: | 10.1016/j.nic.2024.08.025 |
| Abstrakt: | Acquired skull base cerebrospinal fluid (CSF) leaks can result from trauma, tumors, iatrogenic causes, or may be spontaneous. Spontaneous skull base CSF leaks are likely a manifestation of underlying idiopathic intracranial hypertension. The initial assessment of rhinorrhea or otorrhea, which may be suspected owing to an acquired skull base CSF leak, requires integration of clinical assessment and biochemical confirmation of CSF. When leaks are multiple or if samples of fluid cannot be obtained for testing, then recourse to intrathecal contrast-enhanced cisternography may be necessary. We also review various other applications for diagnosis of intracranial abnormalities using contrast-enhanced cisternography. Competing Interests: Disclosure The authors have no commercial or financial conflicts of interests to disclose. (Copyright © 2024 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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