Spinal cerebrospinal fluid leak demonstrated by radioisotopic cisternography.

Clin Nucl Med

Department of Nuclear Medicine, Hôpital Saint-Luc, University of Montreal, Quebec, Canada.

Published: October 1988

Many conditions are known to cause a cerebrospinal fluid (CSF) fistula; one of them is lumbar puncture for contrast myelography. Reported here is the case of a man who underwent contrast myelography at the L2-L3 level and who presented with postural headaches and lumbalgia with radiation to the legs three weeks after the procedure. Tc-99m albumin isotopic cisternography at the L5-S1 level was performed and clearly depicted a functional CSF leak through the dura at the L2-L3 level and CSF suffusion along several rachidian roots. Scinticisternography may thus be used to localize accurately a CSF leak.

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http://dx.doi.org/10.1097/00003072-198810000-00004DOI Listing

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