Prof Cerebrospinal CNS-Leaks: State of the Art in Imaging Diagnosis with Special Focus on Intrathecal MRI Paramagnetic Contrast Agents Procedures CEREBROSPINAL CNS-LEAKS

Main Article Content

Alberto Muñoz Antonio Oliviero

Abstract

MR imaging has proved invaluable in anatomic depiction of the cerebrospinal fluid (CSF) spaces and the surrounding neural and non-neural tissue, although there are still some clinical situations (i.e., cases of CSF-flow alterations, communicating or non-communicating cyst masses bordering CSF pathways, or craniospinal CSF leaks) in which further imaging tests may be required for a definitive diagnosis.


This paper will review the state-of-the-art imaging in these processes, including Radionuclide Cisternography, plain Computed Tomography (CT) and enhanced-CT Cisternography/ myelography, as well as Magnetic Resonance Imaging (MRI) and contrast-enhanced Cisternography/myelography, emphasizing the latest CT and MR imaging refinement advances and proposing tailored specific approaches for two well-established clinical syndromes, namely CSF rhinorrhea and intracranial hypotension syndrome.

Keywords: CSF leak imaging, CSF rhinorrhea imaging, Spontaneous rhinorrhea and otorrhea, CSF otorrhea imaging, Radioisotope cisternography, Intrathecal Gd enhancement, MR cisternography, Intracranial hypotension imaging

Article Details

How to Cite
MUÑOZ, Alberto; OLIVIERO, Antonio. Prof Cerebrospinal CNS-Leaks: State of the Art in Imaging Diagnosis with Special Focus on Intrathecal MRI Paramagnetic Contrast Agents Procedures. Medical Research Archives, [S.l.], v. 11, n. 6, june 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/3844>. Date accessed: 03 mar. 2024. doi: https://doi.org/10.18103/mra.v11i6.3844.
Section
Research Articles

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