Intrathecal gadolinium–enhanced magnetic resonance myelography in the detection of CSF leak

Spontaneous Spinal Cerebrospinal Fluid Leaks

“…2). Myelography with intrathecal administration of gadolinium followed by MRI is an excellent alternative (96, 97). The CSF leak may vary from a small amount of CSF tracking along a single nerve root to extensive bilateral collections of CSF within the paraspinal soft tissues.…”

The Role of MR Myelography with Intrathecal Gadolinium in Localization of Spinal CSF Leaks in Patients with Spontaneous Intracranial Hypotension

“…GdM has been reported in small series and case reports to be a useful adjunct in localization of CSF leaks in the difficult subset of patients with debilitating symptoms of SIH in whom no leak was identified on a prior CTM. [3][4][5][6][7][8][9][10][11][12][13][14][15] However, the sensitivity of GdM in this subset of patients has not been well studied. Our aim in this study was to perform a retrospective review of our experience and to determine and describe the cases in which GdM was a helpful adjunct to CTM in localizing spinal CSF leaks.…”

Currarino triad with presacral meningocele: A study with intrathecal gadopenthate dimeglumine and surgical management

“…In most cases of cystic lesions and CSF leaks T2-weighted MRI will suffice to locate and describe the lesion. But it has been shown that in selected cases intrathecal gadolinium enhanced imaging improves the assessment of anomalous communications of the CSF pathways such as arachnoid cysts and meningoceles [20,21]. Our group already reported its experience with intrathecal Gd-DTPA MRI in pediatric population for the study of CSF leaks, multiloculated hydrocephalus and other disorders of the subarachnoid space.…”