• World Neurosurg · Jul 2024

    Review

    Cerebrospinal Fluid Leaks: Challenges in Localizing Spontaneous Spinal Leak Sites and Minimally Invasive Treatment.

    • Jeffrey Sung, Matthew Lin, Alexandra Giantini-Larsen, Andrew Kim, David Edasery, Michelle Roytman, Sara Strauss, Andrew D Schweitzer, John K Park, and Gayle Salama.
    • Department of Radiology, NewYork-Presbyterian Weill Cornell Medicine, New York, New York, USA.
    • World Neurosurg. 2024 Jul 1; 187: 294303294-303.

    AbstractThe confirmation of cerebrospinal fluid (CSF) leaks in the setting of spontaneous intracranial hypotension (SIH) by imaging involves a growing toolset of multimodal advanced spinal and skull base imaging techniques, for which exists a unique set of challenges for each CSF leak type. Furthermore, the repertoire of minimally invasive CSF leak treatment beyond nontargeted epidural blood patch administration has grown widely, with varied practices across institutions. This review describes current diagnostic imaging and treatment modalities as they apply to the challenges of CSF leak localization and management.Copyright © 2024 Elsevier Inc. All rights reserved.

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