CT-guided cyanoacrylate injection for spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension: outcomes from an expanded cohort

These findings support CT-guided percutaneous cyanoacrylate as a versatile, effective, and safe therapy across SIH leak types, with high rates of favorable clinical outcomes and concordant brain imaging improvement. Future studies with standardized post-treatment spine imaging are needed to enable assessment of an anatomic closure endpoint, validate efficacy by leak type, and define this technique's role relative to other therapies.

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Publication Details

Journal
Journal of Neuroradiology
Published
2026-02-17
DOI
https://doi.org/10.1016/j.neurad.2026.101544
Primary Topic
Neurosurgical Procedures and Complications
Type
article
Field-Weighted Citation Impact
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article

CT-guided cyanoacrylate injection for spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension: outcomes from an expanded cohort

Ulysse Puel, Oana Harsan, Liang Liao, Fábio Pires Botta et al.
Journal of Neuroradiology
Neurosurgical Procedures and Complications
article

CT-guided cyanoacrylate injection for spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension: outcomes from an expanded cohort

Ulysse Puel, Oana Harsan, Liang Liao, Fábio Pires Botta, Ahmed Balaazi, Serge Bracard, François Zhu, Marc BRAUN, Wassim ABOU LOUKOUL
article en

Abstract

These findings support CT-guided percutaneous cyanoacrylate as a versatile, effective, and safe therapy across SIH leak types, with high rates of favorable clinical outcomes and concordant brain imaging improvement. Future studies with standardized post-treatment spine imaging are needed to enable assessment of an anatomic closure endpoint, validate efficacy by leak type, and define this technique's role relative to other therapies.

Journal of NeuroradiologyVol. 53(3)
Centre National de la Recherche Scientifique (FR), Inserm (FR), Centre de Recherche en Sciences et Technologies de l'Information et de la Communication (FR), Imagerie Adaptative Diagnostique et Interventionnelle (FR), Laboratoire Lorrain de Recherche en Informatique et ses Applications (FR), Université de Lorraine (FR)
Openalex Percentile: Top 56%
Neurosurgical Procedures and Complications
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CT-guided cyanoacrylate injection for spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension: outcomes from an expanded cohort — Ulysse Puel, Oana Harsan, et al. · Journal of Neuroradiology (2026) | TGRS Research Map | TGRS