Locating Spinal Leaks in Spontaneous Intracranial Hypotension: How Many Dynamic Myelographies Does It Take?
Dynamic myelography examinations accurately and reliably localize spinal CSF leaks in patients with SIH with SLEC. In about one-half of the patients, the level of the leak can be localized with the first CDM. In case of a repeat dynamic myelography, the technique and patient positioning can be adopted according to the results of the previous examination. Primary dorsal leaks are rare, but because of the low level of suspicion, they pose a diagnostic challenge.
Authors
- Christoph J. Schankin (ORCID: https://orcid.org/0000-0003-4668-6098)
- Ralph T. Schär (ORCID: https://orcid.org/0000-0001-8998-9668)
- Levin Häni (ORCID: https://orcid.org/0000-0001-7892-7138)
- Katharina Wolf (ORCID: https://orcid.org/0000-0003-1468-3634)
- Adrian Scutelnic (ORCID: https://orcid.org/0000-0001-9053-584X)
- Jan Gralla (ORCID: https://orcid.org/0000-0003-1953-9033)
- Johannes Kaesmacher (ORCID: https://orcid.org/0000-0002-9177-2289)
- Johannes Goldberg (ORCID: https://orcid.org/0000-0002-6066-3549)
- Andreas Raabe (ORCID: https://orcid.org/0000-0002-3886-466X)
- Philipe S. Breiding (ORCID: https://orcid.org/0000-0002-6985-0332)
- Thomas Petutschnigg (ORCID: https://orcid.org/0000-0003-1819-3210)
- Eike I. Piechowiak (ORCID: https://orcid.org/0000-0001-5609-0998)
- Jürgen Beck (ORCID: https://orcid.org/0000-0002-7687-6098)
- Tomas Dobrocky (ORCID: https://orcid.org/0000-0002-6167-3343)
- Sara Pilgram‐Pastor (ORCID: https://orcid.org/0000-0002-9879-2637)
- Lorenz Grunder (ORCID: https://orcid.org/0000-0003-0511-8422)
- Danial Nasiri (ORCID: https://orcid.org/0009-0001-3586-2079)
- Saujanya Rajbhandari
- David Brustman
Institutions
- University Hospital of Bern (CH)
- University Medical Center Freiburg (DE)
- Centre Hospitalier Universitaire de Tours (FR)
- Clinical Investigation Center Plurithematic Tours (FR)
- Le Studium (FR)
- University Hospital Hradec Králové (CZ)
- University of Hradec Králové (CZ)
Publication Details
- Journal
- American Journal of Neuroradiology
- Published
- 2025-10-09
- DOI
- https://doi.org/10.3174/ajnr.a9032
- Primary Topic
- Neurosurgical Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00