The success rate of metrizamide ct cisternography in the evaluation of cerebrospinal fluid (CSF) rhinorrhea

Nabawi, P.; Maffe, M.; Phillips, John B.; Capek, V

doi:10.1016/0730-4862(82)90005-1

Cited by 6 publications

(2 citation statements)

References 12 publications

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“…Cysternography associated with CT has a great contribution like in this case. In fact, it shows the contrast movement in active fistula with a success rate reaching 85% (16). MRI imaging is more reliable in studying soft brain tissue and is recommended alongside CT scan (17).…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Temporal Lobe Encephalocele Within the Sphenoid Sinus

Dhaha¹,

Sliman²,

Karmeni³

et al. 2021

Ann Afr Surg.

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Encephaloceles are herniation of cranial content arising from a skull defect. Encephaloceles of the lateral wall of the sphenoid sinus (ELWSS) are uncommon events. In most cases, these cranial hernias are secondary to trauma and craniofacial surgery. Spontaneous forms are evenrarer and not well understood. The most adopted hypothesis is a persisting Sternberg’s canal, an embryonic remnant connecting the middle cranial fossa and the nasopharynx. ELWSS are usually revealed by cerebrospinal fluid (CSF) leak. Diagnosis of this disease necessitates quick management due to the potential of lethal complications such as meningitis. We report the case of a spontaneous ELWSS in a 53-year-old woman revealed by CSF leak which was successfully managed with a conventional transcranial approach. We focus on the clinical aspect and pathogenesis of the disease, and discuss the main possible surgical approaches. Keywords: Spontaneous encephalocele, Sphenoid sinus, CSF leak, Transcranial approach

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Section: Discussionmentioning

confidence: 99%

Spontaneous Temporal Lobe Encephalocele Within the Sphenoid Sinus

Dhaha¹,

Sliman²,

Karmeni³

et al. 2021

Ann Afr Surg.

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“…Radionuclide cisternography (2,10) and lately positron emission tomography (1) are useful when the fistula is leaking but fail in the nondrop period. The most successful method for the examination of CSF liquorrhea is metrizamide cisternography in combination with computed tomography (3)(4)(5)(6)9,11,12,14). Difficulties may arise in a dry period when there is no leakage of CSF and accordingly no metrizamide leakage can be demonstrated.…”

mentioning

confidence: 99%

Intermittent Cerebrospinal Liquorrhea

Fagerlund¹,

Liliequist²

1987

Acta Radiol

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Eight patients with posttraumatic intermittent rhinoliquorrhea were examined in the dry non-drop period, seven of them with CT metrizamide cisternography. The evidence of fracture of the skull base in combination with protruding soft tissues into the sinuses, a local deformity of basal sulci, and pooling of contrast medium in a dural pouch or herniated soft tissue plug will localize the site of leakage. There is no need for special maneuvers such as raising the intracranial pressure in order to initiate flow of the cerebrospinal fluid. Criteria for localizing the leakage are discussed.

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Management of intracranial complications of sinus surgery

Schnipper

Spiegel

2004

Otolaryngologic Clinics of North America

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The success rate of metrizamide ct cisternography in the evaluation of cerebrospinal fluid (CSF) rhinorrhea

Cited by 6 publications

References 12 publications

Spontaneous Temporal Lobe Encephalocele Within the Sphenoid Sinus

Spontaneous Temporal Lobe Encephalocele Within the Sphenoid Sinus

Intermittent Cerebrospinal Liquorrhea

Management of intracranial complications of sinus surgery

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