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Localisation of a CSF fistula by metrizamide CT cisternography

Published online by Cambridge University Press:  29 June 2007

J. Luotonen ,
K. Jokinen  and
J. Laitinen
J. Luotonen*
Affiliation:
Department of Otolaryngology, University of Oulu, Oulu, Finland.
K. Jokinen
Affiliation:
Department of Otolaryngology, University of Oulu, Oulu, Finland.
J. Laitinen
Affiliation:
Department of Roentgendiagnostics, Oulu University Central Hospital, Oulu, Finland.
*
Dr. Jukka Luotonen, Department of Otolaryngology, University of Oulu, SF-90220 Oulu, Finland.
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Abstract

Localisation of a cerebrospinal fluid fistula in the nasal region is difficult. Lack of a suitable roentgen contrast medium for intrathecal use has earlier restricted theutility of cisternography. Metrizamide cisternography and CT have recently proved to be well tolerated and effective in revealing CSF fistulae. A case report of operatively treated CSF rhinorrhea recurring after three years is presented. With the help of CT metrizamide cisternography, the fistula could finally be localised in the sphenoidal sinus. The re-operation confirmed this finding. The technique of cisternography is described.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 100 , Issue 8 , August 1986 , pp. 955 - 958
Copyright
Copyright © JLO (1984) Limited 1986

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References

Briant, T. D. R., and Snell, D. (1967) Diagnosis of cerebrospinal rhinorrhea and the rhinologic approach to its repair. Laryngoscope, 77: 1390–1409.CrossRefGoogle ScholarPubMed
Coleman, C. C., and Troland, C. E. (1974) The surgical treatment of spontaneous cerebrospinal rhinorrhea. Annals of Surgery 125: 718–727.Google Scholar
Crow, H. J., Keogh, G., and Northfield, D. N. (1956) The localisation of cerebrospinal fluid fistulae. Lancet, ii: 325–327.Google Scholar
Drayer, B. P., Wilkins, R. H., Boehnke, M., Horton, J. A., and Rosenbaum, A. E. (1977) Cerebrospinal fluid rhinorrhea demonstrated by metrizamide CT cisternography. American Journal of Roentgenology, 129: 149–151.CrossRefGoogle ScholarPubMed
DiChiro, G. D. (1968) Isotope cisternography in the diagnosis and follow-up of cerebrospinal fluid rhinorrhea. Journal of Neurosurgery, 28: 522–529.Google Scholar
Evans, J. P., and Keegan, H. R. (1960) Danger in the use of intrathecal methylene blue. JAMA, 174: 856–859.CrossRefGoogle ScholarPubMed
Grahne, B. (1970) Spontaneous cerebrospinal fluid rhinorrhea. Acta Otolaryngologica, 70: 383–391.Google Scholar
Irjala, K., Suonpää, J. and Laurent, B. (1979) Identification of CSF leakage by immunofixation. Archives of Otolaryngology, 105: 447–448.CrossRefGoogle ScholarPubMed
Mahaley, M. S., and Odom, G. L. (1966) Complications following intrathecal injection of fluorescein. Journal of Neurosurgery, 25: 298–299.Google Scholar
Manelfe, C., Cellerier, P., Sobel, D., Pravost, C., and Bonate, A. (1982) Cerebrospinal fluid rhinorrhea: Evaluation with metrizamide cisternography. AJNR, 3: 25–30.Google Scholar
Ommaya, A. (1975) Spinal fluid fistulae. Clinical Neurosurgery, 23: 363–392.Google Scholar
Park, J-I., Strelzow, V. V., and Friedman, W. H. (1983) Current management of cerebrospinal fluid rhinorrhea. Laryngoscope, 93: 1294–1300.Google Scholar
Schaefer, S. D., Diehl, J. T., and Briggs, W. H. (1980) The diagnosis of CSF rhinorrhea by metrizamide CT scanning. Laryngoscope, 90: 871–875.CrossRefGoogle ScholarPubMed
Shugar, J. M. A., Som, P. M., Eisman, W. and Biller, H. F. (1980) Non-traumatic cerebrospinal fluid rhinorrhea. Laryngoscope, 91: 114–120, 1980.Google Scholar
Wolf, G.Der konzentrierte autologe Gewebkleber. Arch Otorhinolaryngology (Heidelberg), 237: 279–283.CrossRefGoogle Scholar