Detection of Surgery-related Spinal Cerebrospinal Fluid Leakage Using Magnetic Resonance Myelography.
10.13104/jksmrm.2013.17.2.149
- Author:
Hyun Jung KOO
1
;
Sang Joon KIM
;
Sun J CHUNG
;
Seung Chul RHIM
Author Information
1. Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. sjkimjb@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
MR myelography;
Spinal CSF leakage;
Spinal surgery;
Cerebrospinal fluid leakage
- MeSH:
Blood Patch, Epidural;
Diskectomy;
Headache;
Humans;
Magnetic Resonance Spectroscopy;
Magnetics;
Magnets;
Meningioma;
Myelography;
Reoperation
- From:Journal of the Korean Society of Magnetic Resonance in Medicine
2013;17(2):149-153
- CountryRepublic of Korea
- Language:English
-
Abstract:
Detection of cerebrospinal fluid leakage or exact localization of leakage site after spinal surgery is difficult on conventional imaging studies. We report two patients with surgery-related spinal CSF leakage detected on magnetic resonance (MR) myelography. They presented with severe headache after spinal surgeries, lumbar discectomy and excision of spinal meningioma, respectively. The sites of spinal CSF leakage in the patients were detected accurately on MR myelography, and the patients recovered from the postoperative CSF leakage after being treated with an epidural blood patch or reoperation. MR myelography may be effective in demonstrating the exact site of surgery-related spinal CSF leakage.
