Here is an algorithm for the management of suspected spinal CSF leaks published in 2015 (Continuum series).
- CE = contrast enhancement; EBP = epidural blood patch; RIC = radioisotope cisternographic imaging; CTM = CT myelography; DSM = digital subtraction myelography; GdM = gadolinium myelography.
- (a) Study also provides opportunity to measure CSF opening pressure.
- (b) Early extensive extra-arachnoid CSF egress may make detection of the exact site of the leak on CT myelography almost impossible
Mokri, Bahram. “Spontaneous Intracranial Hypotension”. CONTINUUM: Lifelong Learning in Neurology 21 (2015): 1086-1108. Web. 19 May 2016.