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Special MRI Techniques to Suss out Spontaneous Cerebrospinal Fluid Leaks
Author(s) -
Ernest Yushvayev,
Bradley N. Delman,
Claudia Kirsch
Publication year - 2021
Publication title -
topics in magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.547
H-Index - 53
eISSN - 1536-1004
pISSN - 0899-3459
DOI - 10.1097/rmr.0000000000000281
Subject(s) - cerebrospinal fluid , magnetic resonance imaging , subarachnoid space , skull , medicine , paranasal sinuses , radiology , anterior cranial fossa , pathology , anatomy
Anterior skull base cerebrospinal fluid (CSF) fistulas result from skull base osteodural defects, allowing subarachnoid space CSF to escape into pneumatized cavities such as the paranasal sinuses and nasal fossa. Precise localization, characterization, and effective treatment of CSF leaks is essential to prevent meningitis, treatment failure, or recurrence. Advances in magnetic resonance imaging have improved radiologists' ability to localize and characterize anterior skull base CSF fistulas. This article reviews new imaging techniques enabling diagnostic location of CSF fistulas, with an emphasis on magnetic resonance imaging-based techniques.

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