Browse > Article
http://dx.doi.org/10.13104/jksmrm.2013.17.2.149

Detection of Surgery-related Spinal Cerebrospinal Fluid Leakage Using Magnetic Resonance Myelography  

Koo, Hyun Jung (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center)
Kim, Sang Joon (Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center)
Chung, Sun J. (Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine)
Rhim, Seung-Chul (Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine)
Publication Information
Investigative Magnetic Resonance Imaging / v.17, no.2, 2013 , pp. 149-153 More about this Journal
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.
Keywords
MR myelography; Spinal CSF leakage; Spinal surgery; Cerebrospinal fluid leakage;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Maycock NF, van Essen J, Pfitzner J. Post-laminectomy cerebrospinal fluid fistula treated with epidural blood patch. Spine 1994;19:2223-2225   DOI
2 Goldberg AL, Kershah SM. Advances in imaging of vertebral and spinal cord injury. J Spinal Cord Med 2010;33:105-116   DOI
3 Hashizume K, Watanabe K, Kawaguchi M, Fujiwara A, Furuya H. Comparison between computed tomography-myelography and radioisotope-cisternography findings in whiplash-associated disorders suspected to be caused by traumatic cerebrospinal fluid leak. Spine 2012;37:E721-726   DOI
4 Shapiro SA, Scully T. Closed continuous drainage of cerebrospinal fluid via a lumbar subarachnoid catheter for treatment or prevention of cranial/spinal cerebrospinal fluid fistula. Neurosurg 1992;30:241-245   DOI
5 Eismont FJ, Wiesel SW, Rothman RH. Treatment of dural tears associated with spinal surgery. J Bone Joint Surg Am 1981;63:1132-1136   DOI
6 Lauer KK, Haddox JD. Epidural blood patch as treatment for a surgical durocutaneous fistula. J Clin Anesth 1992;4:45-47
7 El Gammal T, Sobol W, Wadlington VR, et al. Cerebrospinal fluid fistula: detection with MR cisternography. AJNR Am J Neuroradiol 1998;19:627-631
8 Rabin BM, Roychowdhury S, Meyer JR, Cohen BA, LaPat KD, Russell EJ. Spontaneous intracranial hypotension: spinal MR findings. AJNR Am J Neuroradiol 1998;19:1034-1039
9 Yoo HM, Kim SJ, Choi CG, et al. Detection of CSF leak in spinal CSF leak syndrome using MR myelography: correlation with radioisotope cisternography. AJNR Am J Neuroradiol 2008;29:649-654   DOI   ScienceOn
10 Sin AH, Caldito G, Smith D, Rashidi M, Willis B, Nanda A. Predictive factors for dural tear and cerebrospinal fluid leakage in patients undergoing lumbar surgery. J Neurosurg Spine 2006;5:224-227   DOI   ScienceOn
11 Jones AA, Stambough JL, Balderston RA, Rothman RH, Booth RE, Jr. Long-term results of lumbar spine surgery complicated by unintended incidental durotomy. Spine 1989;14:443-446   DOI   ScienceOn
12 Katramados A, Patel SC, Mitsias PD. Non-invasive magnetic resonance myelography in spontaneous intracranial hypotension. Cephalalgia 2006;26:1160-1164   DOI   ScienceOn