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Fast CSF Leak/Ventral Dural Tear
Jeffrey S. Ross, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Diagnostic Checklist

          TERMINOLOGY

          • Abbreviations

            • Spontaneous intracranial hypotension (SIH)
          • Definitions

            • Spinal CSF leak into epidural space from ventral dural tear, usually calcific discogenic microspur
              • Fast CSF leak with epidural fluid present

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Consider

                                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. Beck J et al: Diskogenic microspurs as a major cause of intractable spontaneous intracranial hypotension. Neurology. 87(12):1220-6, 2016
                                5. 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
                                6. Schievink WI et al: A classification system of spontaneous spinal CSF leaks. Neurology. 87(7):673-9, 2016
                                7. Schievink WI et al: CSF-venous fistula in spontaneous intracranial hypotension. Neurology. 83(5):472-3, 2014
                                8. 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
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Diagnostic Checklist

                                        TERMINOLOGY

                                        • Abbreviations

                                          • Spontaneous intracranial hypotension (SIH)
                                        • Definitions

                                          • Spinal CSF leak into epidural space from ventral dural tear, usually calcific discogenic microspur
                                            • Fast CSF leak with epidural fluid present

                                        IMAGING

                                        • General Features

                                          • CT Findings

                                            • MR Findings

                                              • Imaging Recommendations

                                                DIFFERENTIAL DIAGNOSIS

                                                  PATHOLOGY

                                                  • General Features

                                                    • Gross Pathologic & Surgical Features

                                                      CLINICAL ISSUES

                                                      • Presentation

                                                        • Demographics

                                                          • Treatment

                                                            DIAGNOSTIC CHECKLIST

                                                            • Consider

                                                              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. Beck J et al: Diskogenic microspurs as a major cause of intractable spontaneous intracranial hypotension. Neurology. 87(12):1220-6, 2016
                                                              5. 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
                                                              6. Schievink WI et al: A classification system of spontaneous spinal CSF leaks. Neurology. 87(7):673-9, 2016
                                                              7. Schievink WI et al: CSF-venous fistula in spontaneous intracranial hypotension. Neurology. 83(5):472-3, 2014
                                                              8. 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