Demonstration of Cerebrospinal Fluid Leakage on Radionuclide Cisternography by SPECT/CT

ABSTRACTWe report a case of a 37-year-old woman with severe headache provoked by postural changes who was referred to the nuclear medicine department for radionuclide cisternography to demonstrate suspected cerebrospinal fluid leakage. There was an increased uptake laterally on the left paraspinal r...

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Bibliographic Details
Published in:Clinical nuclear medicine 2015-01, Vol.40 (1), p.e55-e57
Main Authors: Nursal, Gül Nihal, Yapar, Ali Fuat
Format: Article
Language:English
Subjects:
Adult
Blood Patch, Epidural
Cerebrospinal Fluid Leak - diagnostic imaging
Cerebrospinal Fluid Leak - therapy
Female
Humans
Pneumoencephalography
Radiopharmaceuticals
Technetium Tc 99m Pentetate
Tomography, Emission-Computed, Single-Photon
Tomography, X-Ray Computed
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Summary:ABSTRACTWe report a case of a 37-year-old woman with severe headache provoked by postural changes who was referred to the nuclear medicine department for radionuclide cisternography to demonstrate suspected cerebrospinal fluid leakage. There was an increased uptake laterally on the left paraspinal region of upper thoracal spine and posteriorly on the upper cervical region. Fused SPECT/CT images located the exact leakage site as at the first costovertebral junction level on the left side laterally and on the posterior region of the first and second cervical spine. The treatment with epidural blood patch was successful.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0000000000000362