Imaging review of cerebrospinal fluid leaks
| Autor: | Sampath K Puvvada, Srinivas Dandamudi, Naga Varaprasad Vemuri, Venkatesh Manchikanti, Vineet K Vemuri, Lakshmi Sudha Prasanna Karanam |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
High-resolution computed tomography
Leak medicine.medical_specialty 020209 energy R895-920 02 engineering and technology t2 drivel 03 medical and health sciences Medical physics. Medical radiology. Nuclear medicine 0302 clinical medicine Cerebrospinal fluid 0202 electrical engineering electronic engineering information engineering medicine Radiology Nuclear Medicine and imaging Brain abscess cerebrospinal fluid leaks medicine.diagnostic_test business.industry Magnetic resonance imaging Functional endoscopic sinus surgery cisternography medicine.disease Neuro/Head & Neck Radiology Complication business Meningitis 030217 neurology & neurosurgery |
| Zdroj: | Indian Journal of Radiology and Imaging, Vol 27, Iss 04, Pp 441-446 (2017) The Indian Journal of Radiology & Imaging |
| ISSN: | 1998-3808 0971-3026 |
| DOI: | 10.4103/ijri.IJRI_380_16 |
| Popis: | Cerebrospinal fluid (CSF) leak occurs due to a defect in the dura and skull base. Trauma remains the most common cause of CSF leak; however, a significant number of cases are iatrogenic, and result from a complication of functional endoscopic sinus surgery (FESS). Early diagnosis of CSF leak is of paramount importance to prevent life-threatening complications such as brain abscess and meningitis. Imaging plays a crucial role in the detection and characterization of CSF leaks. Three-dimensional, isotropic, high resolution computed tomography (HRCT) accurately detects the site and size of the bony defect. CT cisternography, though invasive, helps accurately identify the site of CSF leak, especially in the presence of multiple bony defects. Magnetic resonance imaging (MRI) accurately detects CSF leaks and associated complications such as the encephaloceles and meningoceles. In this review, we emphasize the importance and usefulness of 3D T2 DRIVE MR cisternography in localizing CSF leaks. This sequence has the advantages of effective bone and fat suppression, decreased artefacts, faster acquisition times, three-dimensional capability, y and high spatial resolution in addition to providing very bright signal from the CSF. |
| Databáze: | OpenAIRE |
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