Cerebrospinal fluid imaging using serial metrizamide CT cisternography.
Twenty-five patients studied by serial metrizamide (Amipaque) CT cisternography were used to analyze CSF kinetics. Delayed CSF flow patterns were noted in 7 patients, while intermediate patterns occurred in 4. The abnormal cisternogram was characterized primarily by ventricular reflux and stasis and secondarily by diminution of the parasagittal blush and a periventricular rim of decreased absorption. The intermediate group had minimal ventricular stasis after 24 hours and a normal parasagittal blush. After clinical and biochemical evaluation of the patient with dementia, CT scanning is usually indicated. If a profile suggestive of communicating hydrocephalus emerges, CSF kinetics can be monitored dynamically by CT scanning with metrizamide enhancement.
D000293:Adolescent; D000328:Adult; D000368:Aged; D003287:Contrast Media / Q000008:administration & dosage*; D006801:Humans; D006849:Hydrocephalus / Q000134:cerebrospinal fluid / Q000000981:diagnostic imaging*; D007278:Injections, Spinal; D007463:Iodobenzoates / Q000008:administration & dosage*; D008793:Metrizamide / Q000008:administration & dosage*; D008875:Middle Aged; D009192:Myelography / Q000009:adverse effects; D014057:Tomography, X-Ray Computed / Q000009:adverse effects
D003287:Contrast Media; D007463:Iodobenzoates; D008793:Metrizamide