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Başlık: The contribution of 3D-CISS and contrast-enhanced MR cisternography in detecting cerebrospinal fluid leak in patients with rhinorrhoea
Yazarlar: Uludağ Üniversitesi/Tıp Fakültesi/Radyoloji Anabilim Dalı.
Uludağ Üniversitesi/Tıp Fakültesi/Nöroşirürji Anabilim Dalı.
0000-0002-3425-0740
0000-0002-3877-8366
Algın, Oktay
Hakyemez, Bahattin
Gökalp, Gökhan
Özcan, Tekin
Korfalı, Ender
Parlak, Müfit
AAI-2318-2021
AAI-2336-2021
AAG-8521-2021
23995109100
6602527239
8312505100
25636374000
7004641343
7003589220
Anahtar kelimeler: High-resolution ct
Magnetic-resonance cisternography
Csf leaks
Diagnosis
Radiology, nuclear medicine & medical imaging
Yayın Tarihi: Mar-2010
Yayıncı: British Inst Radiology
Atıf: Algın, O. vd. (2010). "The contribution of 3D-CISS and contrast-enhanced MR cisternography in detecting cerebrospinal fluid leak in patients with rhinorrhoea". British Journal of Radiology, 83(987), 225-232.
Özet: The aim of this prospective study was to evaluate the value of unenhanced (three-dimensional constructive interference in steady state (3D-CISS)) and contrast-enhanced MR cisternography (CE-MRC) in detecting the localisation of cerebrospinal fluid (CSF) leak in patients with rhinorrhoea. 17 patients with active or suspected CSF rhinorrhoea were included in the study. 3D-CISS sequences in coronal and sagittal planes and fat-suppressed T-1-weighted spin-echo sequences in three planes before and after intrathecal contrast media adminstration were obtained. Images were obtained of the cribriform plate and sphenoid sinus. In addition, high-resolution CT (HRCT) was performed in order to evaluate the bony elements. The leak was present in 9/17 patients with 3D-CISS and 10/17 patients with CE-MRC. The leak from the cribriform plate to the nasal cavity in six patients and from the sphenoid sinus in four patients was nicely shown by CE-MRC. Eight of those patients were surgically treated, but spontaneous regression of the symptoms in two precluded any intervention. The leak localisations shown with CE-MRC were fully compatible with surgical results. The sensitivities of HRCT, 3D-CISS and CE-MRC for showing CSF leakage were 88%, 76% and 100%, respectively. In conclusion, 3D-CISS is a non-invasive and reliable technique, and should be the first-choice method to localise CSF leak. CE-MRC is helpful in conditions when there is no leak or in complicated cases with a positive beta 2-transferrin measurement.
URI: https://doi.org/10.1259/bjr/56838652
https://pubmed.ncbi.nlm.nih.gov/19723768/
http://hdl.handle.net/11452/22688
ISSN: 0007-1285
1748-880X
Koleksiyonlarda Görünür:Scopus
Web of Science

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