Multimodality Imaging of a Spontaneous Cerebrospinal Fluid Leak

A 66-year-old woman presented with sudden onset of sixth nerve palsy and back pain after an episode of intense coughing as a result of a prolonged severe upper respiratory tract infection. Radiologic investigation did not reveal a space-occupying lesion. An MRI of the thoracic spine was reported as...

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Bibliographic Details
Published in:Clinical nuclear medicine 2007-03, Vol.32 (3), p.210-212
Main Authors: Cumarasingam, Brenda, Mansberg, Robert, Mansberg, Victor, Szeto, Edwin, Garrick, Raymond
Format: Article
Language:English
Subjects:
Aged
Cerebrospinal Fluid
Contrast Media
Diagnosis, Differential
Female
Gadolinium DTPA
Humans
Intracranial Hypotension - diagnosis
Intracranial Hypotension - physiopathology
Magnetic Resonance Imaging
Radiopharmaceuticals
Subdural Effusion - diagnosis
Subdural Effusion - physiopathology
Thoracic Vertebrae
Tomography, Emission-Computed
Tomography, X-Ray Computed
Citations: Items that this one cites
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Description
Summary:A 66-year-old woman presented with sudden onset of sixth nerve palsy and back pain after an episode of intense coughing as a result of a prolonged severe upper respiratory tract infection. Radiologic investigation did not reveal a space-occupying lesion. An MRI of the thoracic spine was reported as not demonstrating a cerebrospinal fluid leak. A radionuclide cerebrospinal fluid study was performed to identify a suspected leak and demonstrated an unusual pattern of multiple leaks at the midthoracic level. Review of the MRI then revealed a leak confirming the value of radionuclide cisternography in localizing the anatomic site of a cerebrospinal fluid leak not initially demonstrated on MRI.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0b013e31803073e7