Since cerebrospinal fluid (CSF) leakage is highlighted as a cause of persistent headache, radionuclide cisternography has been increasingly performed in Japan to confirm the disorder, although the limited ability of the examination should be recognized. We present 3 cases in which failure of a tracer injection was strongly suspected. In 2 cases with chronic symptoms, the tracer appeared to be i...

abstract radionuclide cisternography (rnc) is of potential value in pointing out the sites of cerebrospinal fluid (csf) leakage in patients with spontaneous intracranial hypotension (sih). in the current report, we present two patients who underwent rnc for suspected csf leakage. both patients underwent magnetic resonance imaging (mri) and rnc for evaluation. we describe a simple method to incr...

Received 2/28/2004; revised 4/1/2004; accepted 4/5/2004. For correspondence or reprints contact: Ruoh-Fang Yen, M.D., Department of Nuclear Medicine, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei 100, Taiwan. Tel: (886)2-23562480, Fax: (886)2-23957855, E-mail: [email protected] It has been postulated that spontaneous intracranial hypotension is caused by the rupture ...

Received 2/13/2007; revised 4/11/2007; accepted 4/27/2007. For correspondence or reprints contact: Wan-Yu Lin, M.D., Department of Medical Imaging, Taichung Veterans General Hospital. 160 Section 3, Taichung Harbor Road, Taichung 407, Taiwan. Tel: (886)4-23741349, Fax: (886)4-23741348, E-mail: wylin@ vghtc.gov.tw Orthostatic headaches may be caused from spontaneous cerebrospinal fluid (CSF) lea...

Radionuclide Cisternography (RNC) is of potential value in pointing out the sites of cerebrospinal fluid (CSF) leakage in patients with spontaneous intracranial hypotension (SIH). In the current report, we present two patients who underwent RNC for suspected CSF leakage. Both patients underwent magnetic resonance imaging (MRI) and RNC for evaluation. We describe a simple method to increase the ...

We report a case of intracranial hypotension caused by chiropractic manipulation which, in contrast to previously reported cases, documents the location of the cerebrospinal fluid leak by radionuclide cisternography. Cervical spinal manipulation produced a remote lumbar dural tear in our patient. Spinal magnetic resonance imaging may falsely localize the dural tear in this condition. Although c...

In an attempt to improve the diagnosis and to assess the intensity of intermittent cerebrospinal fluid rhinorrhea, indium-111 uptake by nasal pledgets during prolonged cisternography using 111In-DTPA was determined. In 12 patients having suspected cerebrospinal fluid rhinorrhea, cisternograms with calculation of counts/pixel in regions of interest were obtained, blood samples drawn, and nasal p...