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Fast CSF Leak/Meningeal Diverticulum
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Spontaneous intracranial hypotension (SIH)
            • Definitions

              • Spinal CSF leak into epidural space from tear in meningeal diverticulum (root sleeve)

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Dobrocky T et al: Assessing spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension with a scoring system based on brain magnetic resonance imaging findings. JAMA Neurol. 76(5):580-7, 2019
                                    2. Dobrocky T et al: Cryptogenic cerebrospinal fluid leaks in spontaneous intracranial hypotension: role of dynamic CT myelography. Radiology. 289(3):766-72, 2018
                                    3. Kranz PG et al: CSF venous fistulas in spontaneous intracranial hypotension: imaging characteristics on dynamic and CT myelography. AJR Am J Roentgenol. 209(6):1360-6, 2017
                                    4. Kranz PG et al: Myelographic techniques for the detection of spinal CSF leaks in spontaneous intracranial hypotension. AJR Am J Roentgenol. 206(1):8-19, 2016
                                    5. Schievink WI et al: A classification system of spontaneous spinal CSF leaks. Neurology. 87(7):673-9, 2016
                                    6. Schievink WI et al: CSF-venous fistula in spontaneous intracranial hypotension. Neurology. 83(5):472-3, 2014
                                    7. Akbar JJ et al: The role of MR myelography with intrathecal gadolinium in localization of spinal CSF leaks in patients with spontaneous intracranial hypotension. AJNR Am J Neuroradiol. 33(3):535-40, 2012
                                    8. Schievink WI et al: False localizing sign of C1-2 cerebrospinal fluid leak in spontaneous intracranial hypotension. J Neurosurg 100:639-44, 2004
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Spontaneous intracranial hypotension (SIH)
                                              • Definitions

                                                • Spinal CSF leak into epidural space from tear in meningeal diverticulum (root sleeve)

                                              IMAGING

                                              • General Features

                                                • CT Findings

                                                  • MR Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Staging, Grading, & Classification

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Dobrocky T et al: Assessing spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension with a scoring system based on brain magnetic resonance imaging findings. JAMA Neurol. 76(5):580-7, 2019
                                                                      2. Dobrocky T et al: Cryptogenic cerebrospinal fluid leaks in spontaneous intracranial hypotension: role of dynamic CT myelography. Radiology. 289(3):766-72, 2018
                                                                      3. Kranz PG et al: CSF venous fistulas in spontaneous intracranial hypotension: imaging characteristics on dynamic and CT myelography. AJR Am J Roentgenol. 209(6):1360-6, 2017
                                                                      4. Kranz PG et al: Myelographic techniques for the detection of spinal CSF leaks in spontaneous intracranial hypotension. AJR Am J Roentgenol. 206(1):8-19, 2016
                                                                      5. Schievink WI et al: A classification system of spontaneous spinal CSF leaks. Neurology. 87(7):673-9, 2016
                                                                      6. Schievink WI et al: CSF-venous fistula in spontaneous intracranial hypotension. Neurology. 83(5):472-3, 2014
                                                                      7. Akbar JJ et al: The role of MR myelography with intrathecal gadolinium in localization of spinal CSF leaks in patients with spontaneous intracranial hypotension. AJNR Am J Neuroradiol. 33(3):535-40, 2012
                                                                      8. Schievink WI et al: False localizing sign of C1-2 cerebrospinal fluid leak in spontaneous intracranial hypotension. J Neurosurg 100:639-44, 2004