Algorithm for Management of CSF Leaks

Here is an algorithm for the management of suspected spinal CSF leaks published in 2015 (Continuum series).

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  • 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

Reference:

Mokri, Bahram. “Spontaneous Intracranial Hypotension”. CONTINUUM: Lifelong Learning in Neurology 21 (2015): 1086-1108. Web. 19 May 2016.

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