Digital Subtraction Myelography for the Detection of Type 1 Spinal CSF Leaks: Evaluation of Temporal Characteristics and Diagnostic Value

DSM demonstrated a high diagnostic yield for type 1 leaks when used as a first-line investigation. We have confirmed the high-flow characteristics of these leaks, suggesting that the high temporal resolution of DSM was ideally suited for their detection, with 1 fps being overall sufficient. A lower Bern SIH score could favor patients for the primary use of dCTM; however, further research may clarify why DSM occasionally misses diagnoses.

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Publication Details

Journal
American Journal of Neuroradiology
Published
2025-05-23
DOI
https://doi.org/10.3174/ajnr.a8847
Primary Topic
Neurosurgical Procedures and Complications
Type
article
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article

Digital Subtraction Myelography for the Detection of Type 1 Spinal CSF Leaks: Evaluation of Temporal Characteristics and Diagnostic Value

Horst Urbach, Katharina Wolf, Amir El Rahal, Jürgen Beck et al.
American Journal of Neuroradiology
Neurosurgical Procedures and Complications
article

Digital Subtraction Myelography for the Detection of Type 1 Spinal CSF Leaks: Evaluation of Temporal Characteristics and Diagnostic Value

Horst Urbach, Katharina Wolf, Amir El Rahal, Jürgen Beck, Florian Volz, Niklas Lützen, Charlotte Zander, Laura Krismer
article en

Abstract

DSM demonstrated a high diagnostic yield for type 1 leaks when used as a first-line investigation. We have confirmed the high-flow characteristics of these leaks, suggesting that the high temporal resolution of DSM was ideally suited for their detection, with 1 fps being overall sufficient. A lower Bern SIH score could favor patients for the primary use of dCTM; however, further research may clarify why DSM occasionally misses diagnoses.

American Journal of NeuroradiologyVol. 46(12)
University Medical Center Freiburg (DE)
Openalex Percentile: Top 81%
Neurosurgical Procedures and Complications
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