Open AccessSupine Digital Subtraction Myelography for the Demonstration of a Dorsal Cerebrospinal Fluid Leak in a Patient with Spontaneous Intracranial Hypotension: A Technical Note
Author(s) -
Michael Carstensen,
Navjot Chaudhary,
Andrew Leung,
Wai Pui Ng
Publication year - 2012
Publication title -
journal of radiology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.154
H-Index - 18
ISSN - 1943-0922
DOI - 10.3941/jrcr.v6i9.1002
Subject(s) - medicine , myelography , supine position , cerebrospinal fluid , leak , cerebrospinal fluid leak , intracranial hypotension , anesthesia , prone position , subtraction , dorsum , lumbar puncture , radiology , spinal cord , anatomy , pathology , arithmetic , mathematics , psychiatry , environmental engineering , engineering
A patient with spontaneous intracranial hypotension due to a spinal cerebrospinal fluid (CSF) leak required localization of the leakage site prior to surgical management. Conventional, computed tomography and prone digital subtraction myelography failed to localize the dural tear, which was postulated to be dorsally located. We present here a digital subtraction myelographic approach to accurately localize a dorsal site of CSF leakage by injecting iodinated contrast via a lumbar drain with the patient in the supine position.