injection of metrizamide into the lumbar subarachnoid space. 2, 30 April 2013 | Acta Radiologica, Vol. All rights reserved. Epub 2019 Jul 10. It has been shown that with each pulse, about 0.75 ml of fluid from the cranium moves down into the spinal canal during systole and returns to the head in diastole. [Radionuclide cisternography in the late period of penetrating cranio-cerebral wounds]. Widespread use of endoscope in sinus surgery have made us more familiar with the anatomy of the sinuses as well as the skull base. Cerebrospinal fluid (CSF) fistulae result from defects in the pia-arachnoid membrane and dura such that the CSF can escape its normal reservoirs and pathways. Cerebrospinal fluid (CSF) leak may occur from the nose (rhinorrhea), from the external auditory canal (otorrhea), or from a traumatic or operative defect in the skull or spine. No leak could be demonstrated in the other 17. 37, No. Fractures of the midface pose a serious medical problem as for their complexity, frequency and their socio-economic impact. Radioisotope cisternography with intranasal pledgets helped localize the site of leak in 50% of patients and suggested the site of the leak in 25%. The patient was discharged home with an amoxicillin prescription. Shcherbakova EIa, Liass FM, Naumenko VI, Lebedeva AN, Soboleva OI. Clin Nucl Med. 14-1). Seven examinations were also performed with overpressure metrizamide CT cisternography (OMCTC), and five demonstrated concordant results with the radionuclide study. An increase of 39 absorption units clearly indicated the movement of CSF from the prepontine subarachnoid space into the sphenoid sinus. CSF leakage study; rhinorrhea; pledget analysis; The use of nuclear medicine imaging to diagnose and localize cerebrospinal fluid (CSF) leakage is currently not common practice. 222, No. 3, American Journal of Roentgenology, Vol. 1981 Oct;6(10S):P103-9. A bifrontal craniotomy was performed, the encephalocele was resected and cranialisation of the frontal sinus was completed. 1995 Aug;37(6):453-5. doi: 10.1007/BF00600091. 4, 17 September 2009 | American Journal of Neuroradiology, Vol. Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Overpressure radionuclide cisternography and metrizamide computed tomographic cisternography in the detection of intermittent rhinoliquorrheas in children. Cisternography with radioisotopes (indium 111 ) only have historical significance [122], Treatment of cerebro-spinal fluid rhinorrhea from traumatic or tumoral origin, by simple dural patching, is not always sufficient because of the possible necrosis of the patch, mainly in case of severe osteo-meningeal defects. Nuklearmedizinische Untersuchungen in der Kinderradiologie, The Surgical Treatment of Facial Injuries, Cerebrospinal fluid rhinorrhea studied with the gamma scintillation camera, Spontaneous “High-Pressure Cerebrospinal Rhinorrhea” Due to Lesions Obstructing Flow of Cerebrospinal Fluid, Prolactinomas and nonfunctioning adenomas: preoperative diagnosis of tumor type using serum prolactin and tumor size, Outcomes After Repeat Transsphenoidal Surgery for Recurrent Cushing Disease: Updated, [Repair of recurrent osteo-meningeal lesions at the base of the skull], Endonasal endoscopic repair of ethmoid roof cerebral fluid fistula by suturing the dura, An 8-year-old boy with a Pott's puffy tumor. Seven examinations were also performed with overpressure metrizamide CT cisternography (OMCTC), and five demonstrated concordant results with the radionuclide study. Intraoperative cone beam radiographs and preshaped titanium mesh implants for orbital reconstruction are new techniques and essential aspects in midface traumatology. Die Entwicklung kurzlebiger Radionuklide, geeigneter Radiopharmaka und die Konstruktion moderner Gammakameras in Verbindung mit Rechnern zur quantitativen Auswertung erlauben die Durchführung einer noch wachsenden Zahl von nuklearmedizinischen Untersuchungsmethoden bei Kindern jeder Altersstufe. Traffic accidents are the leading cause and male adults in their thirties are affected most often. In this paper, we will describe our experience of CSF repair by suturing dura under endoscopic guidance for the repair of small ethmoid roof (<1.2cm) defects. Some critical remarks in terms of high dose methylprednisolone therapy for traumatic optic nerve injury seem to be appropriate. 1989 Aug;5(4):238-40. doi: 10.1007/BF00271026. Join ResearchGate to find the people and research you need to help your work. Access scientific knowledge from anywhere. The fluid leak is a result of meningeal dural and arachnoid laceration with fistula formation. These fistulae may be manifested as a leakage from a lumbar puncture, a scalp defect, or drainage of CSF from the nose (rhinorrhea) or ear (otorrhea).