Spinal Cerebrospinal Fluid Leak Localization with Dynamic Computed Tomography Myelography: Tips, Tricks, and Pitfalls

Radiol Clin North Am. 2024 Mar;62(2):311-319. doi: 10.1016/j.rcl.2023.09.002. Epub 2023 Nov 7.

Abstract

Locating spinal cerebrospinal fluid (CSF) leaks can be a diagnostic dilemma for clinicians and radiologists, as well as frustrating for patients. Dynamic computed tomography myelography (dCTM) has emerged as a valuable tool in localizing spinal CSF leaks, aiding in accurate diagnosis, and guiding appropriate management. This article aims to provide insights into the technique, tips, tricks, and potential pitfalls associated with dCTM for spinal CSF leak localization. By understanding the nuances of this procedure, clinicians can optimize the diagnostic process and improve patient outcomes.

Keywords: Cerebrospinal fluid leak; Dynamic computed tomography myelography; Spontaneous intracranial hypotension.

Publication types

  • Review

MeSH terms

  • Cerebrospinal Fluid Leak / complications
  • Cerebrospinal Fluid Leak / diagnostic imaging
  • Humans
  • Intracranial Hypotension* / diagnostic imaging
  • Myelography / methods
  • Tomography, X-Ray Computed / methods