title: Rapid spontaneous cerebrospinal fluid leak detected in the gastrointestinal tract.
abstract: There are many causes of cerebrospinal (CSF) leaks. Most cases are secondary to blunt trauma and iatrogenic trauma caused by postoperative sequelae. Occasionally, CSF leakage may occur from nontraumatic or "spontaneous" causes, such as benign intracranial hypertension and "empty sella syndrome." Mass effect due to an encephalocele or meningocele may also be seen. Radionuclide cisternography is a sensitive method of determining CSF leak when combined with intranasal cotton pledget placement and analysis. We present a spontaneous CSF fluid leak that was detected when scintigraphic activity appeared first in the gastrointestinal tract.
authors.affiliation: From the *Division of Nuclear Medicine, Department of Radiology, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY; †Department of Radiology, University of Connecticut Health Center, Farmington, CT; and ‡Department of Radiology, Maimonides Medical Center, Brooklyn, NY.
authors.forename: Hong Yun
authors.initials: HY
authors.lastname: Ma
authors.forename: Papia
authors.initials: P
authors.lastname: Sen
authors.forename: Evan G
authors.initials: EG
authors.lastname: Stein
authors.forename: Leonard M
authors.initials: LM
authors.lastname: Freeman
mesh_terms: D065634:Cerebrospinal Fluid Leak; D002559:Cerebrospinal Fluid Rhinorrhea / Q000000981:diagnostic imaging*; D005260:Female; D041981:Gastrointestinal Tract / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed