Detection of Surgery-related Spinal Cerebrospinal Fluid Leakage Using Magnetic Resonance Myelography
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Detection of cerebrospinal fluid leakage or exact localization of leakage site after spinal surgery is difficult on conventional imaging studies. We report two patients with surgery-related spinal CSF leakage detected on magnetic resonance (MR) myelography. They presented with severe headache after spinal surgeries, lumbar discectomy and excision of spinal meningioma, respectively. The sites of spinal CSF leakage in the patients were detected accurately on MR myelography,and the patients recovered from the postoperative CSF leakage after being treated with an epidural blood patch or reoperation. MR myelography may be effective in demonstrating the exact site of surgery-related spinal CSF leakage.
Abstract
Detection of cerebrospinal fluid leakage or exact localization of leakage site after spinal surgery is difficult on conventional imaging studies. We report two patients with surgery-related spinal CSF leakage detected on magnetic resonance (MR) myelography. They presented with severe headache after spinal surgeries, lumbar discectomy and excision of spinal meningioma, respectively. The sites of spinal CSF leakage in the patients were detected accurately on MR myelography,and the patients recovered from the postoperative CSF leakage after being treated with an epidural blood patch or reoperation. MR myelography may be effective in demonstrating the exact site of surgery-related spinal CSF leakage.
참고문헌 (12)
- Sin AH, "Predictive factors for dural tear and cerebrospinal fluid leakage in patients undergoing lumbar surgery", J Neurosurg Spine, 5, pp.224~227 (2006)
- Jones AA, "Long-term results of lumbar spine surgery complicated by unintended incidental durotomy", Spine, 14, pp.443~446 (1989)
- Shapiro SA, "Closed continuous drainage of cerebrospinal fluid via a lumbar subarachnoid catheter for treatment or prevention of cranial", spinal cerebrospinal fluid fistula, 1992, pp.30, 241~245
- Eismont FJ, "Treatment of dural tears associated with spinal surgery", J Bone Joint Surg Am, 63, pp.1132~1136 (1981)
- Lauer KK, "Epidural blood patch as treatment for a surgical durocutaneous fistula", J Clin Anesth, 4, pp.45~47 (1992)
- El Gammal T, "Cerebrospinal fluid fistula: detection with MR cisternography", AJNR Am J Neuroradiol, 19, pp.627~631 (1998)
- Rabin BM, "Russell EJ. Spontaneous intracranial hypotension: spinal MR findings", AJNR Am J Neuroradiol, 19, pp.1034~1039 (1998)
- Yoo HM, "Detection of CSF leak in spinal CSF leak syndrome using MR myelography: correlation with radioisotope cisternography", AJNR Am J Neuroradiol, 29, pp.649~654 (2008)
- Katramados A, "Non-invasive magnetic resonance myelography in spontaneous intracranial hypotension", Cephalalgia, 26, pp.1160~1164 (2006)
- Maycock NF, "Post-laminectomy cerebrospinal fluid fistula treated with epidural blood patch", Spine, 19, pp.2223~2225 (1994)
- Goldberg AL, "Advances in imaging of vertebral and spinal cord injury", J Spinal Cord Med, 33, pp.105~116 (2010)
- Hashizume K, "Comparison between computed tomography-myelography and radioisotope-cisternography findings in whiplash-associated disorders suspected to be caused by traumatic cerebrospinal fluid leak", Spine, 37, pp.E721~E726 (2012)