title: Spinal cerebrospinal fluid leak demonstrated by radioisotopic cisternography.
abstract: 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.
authors.affiliation: Department of Nuclear Medicine, Hôpital Saint-Luc, University of Montreal, Quebec, Canada.
authors.forename: M
authors.initials: M
authors.lastname: Primeau
authors.forename: L
authors.initials: L
authors.lastname: Carrier
authors.forename: P C
authors.initials: PC
authors.lastname: Milette
authors.forename: R
authors.initials: R
authors.lastname: Chartrand
authors.forename: D
authors.initials: D
authors.lastname: Picard
authors.forename: M
authors.initials: M
authors.lastname: Picard
mesh_terms: 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
chemical_list: D013668:Technetium Tc 99m Aggregated Albumin