Spinal cerebrospinal fluid leak demonstrated by radioisotopic cisternography.
Many conditions are known to cause a cerebrospinal fluid (CSF) fistula; one of them is lumbar puncture for contrast myelography. Reported here is the case of a man who underwent contrast myelography at the L2-L3 level and who presented with postural headaches and lumbalgia with radiation to the legs three weeks after the procedure. Tc-99m albumin isotopic cisternography at the L5-S1 level was performed and clearly depicted a functional CSF leak through the dura at the L2-L3 level and CSF suffusion along several rachidian roots. Scinticisternography may thus be used to localize accurately a CSF leak.
Primeau
M
M
Department of Nuclear Medicine, Hôpital Saint-Luc, University of Montreal, Quebec, Canada.
Carrier
L
L
Milette
P C
PC
Chartrand
R
R
Picard
D
D
Picard
M
M
D000328:Adult; D002555:Cerebrospinal Fluid; D005402:Fistula / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D011877:Radionuclide Imaging; D013122:Spinal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D013129:Spinal Puncture / Q000009:adverse effects; D013668:Technetium Tc 99m Aggregated Albumin
D013668:Technetium Tc 99m Aggregated Albumin