关键词: CSF-Venous fistula Epidural blood patch Epidural fibrin patch Myelogram Myelography Spinal cerebrospinal fluid leak Spinal longitudinal extradural collection

Mesh : Humans Cerebrospinal Fluid Leak / therapy diagnostic imaging surgery Intracranial Hypotension / therapy diagnostic imaging etiology Minimally Invasive Surgical Procedures / methods Blood Patch, Epidural / methods Magnetic Resonance Imaging

来  源:   DOI:10.1016/j.wneu.2024.03.114

Abstract:
The 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.
摘要:
在自发性颅内低血压(SIH)的背景下,通过成像确认脑脊液(CSF)泄漏涉及越来越多的多模态高级脊柱和颅底成像技术的工具集,对于每个CSF泄漏类型存在一组独特的挑战。此外,非靶向硬膜外血贴片给药之外的微创脑脊液漏治疗方法已经广泛发展,不同机构的做法各不相同。这篇综述描述了当前的诊断成像和治疗方式,因为它们适用于CSF泄漏定位和管理的挑战。
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