Demonstration Of Loculated Spinal CSF Leak By Radionuclide Cisternogram And MRI

摘要

Trauma is a common cause of spinal CSF leak. Other causes that are associated with spinal CSF leak include spinal injury due to fracture or stab wound, epidural anesthesia, lumbar puncture, spontaneous, bronchopleural fistula due to bronchogenic carcinoma. Traumatic CSF leaks are more common in the cervicothoracic and the thoracic spinal area. Spinal CSF leak can lead to infection, intracranial hypotension and headache. Radionuclide cisternogram plays an important role in the localization of spinal CSF leaks. Case Report The patient is a 63-year-old male with H/o Cervical stenosis and radiculopathy underwent C3-C6 decompression and instrumentation. The patient developed postoperative spinal CSF leak which was surgically repaired. He presented with recurrent spinal CSF leak. An MRI and radionuclide cisternogram were obtained to localize the leak.