Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleSpine Imaging and Spine Image-Guided Interventions

Likelihood of Discovering a CSF Leak Based on Intracranial MRI Findings in Patients without a Spinal Longitudinal Extradural Collection: A New Probabilistic Scoring System

John C. Benson, Ajay A. Madhavan, Ian T. Mark, Jeremy K. Cutsforth-Gregory, Waleed Brinjikji and Jared T. Verdoorn
American Journal of Neuroradiology November 2023, 44 (11) 1339-1344; DOI: https://doi.org/10.3174/ajnr.A8030
John C. Benson
aFrom the Department of Radiology (J.C.B., A.A.M., I.T.M., W.B., J.T.V.), Mayo Clinic, Rochester, Minnesota
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for John C. Benson
Ajay A. Madhavan
aFrom the Department of Radiology (J.C.B., A.A.M., I.T.M., W.B., J.T.V.), Mayo Clinic, Rochester, Minnesota
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Ajay A. Madhavan
Ian T. Mark
aFrom the Department of Radiology (J.C.B., A.A.M., I.T.M., W.B., J.T.V.), Mayo Clinic, Rochester, Minnesota
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Ian T. Mark
Jeremy K. Cutsforth-Gregory
bDepartment of Neurology (J.K.C.-G.), Mayo Clinic, Rochester, Minnesota
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Jeremy K. Cutsforth-Gregory
Waleed Brinjikji
aFrom the Department of Radiology (J.C.B., A.A.M., I.T.M., W.B., J.T.V.), Mayo Clinic, Rochester, Minnesota
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Waleed Brinjikji
Jared T. Verdoorn
aFrom the Department of Radiology (J.C.B., A.A.M., I.T.M., W.B., J.T.V.), Mayo Clinic, Rochester, Minnesota
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Jared T. Verdoorn
  • Article
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Callen AL,
    2. Timpone VM,
    3. Schwertner A, et al
    . Algorithmic multimodality approach to diagnosis and treatment of spinal CSF leak and venous fistula in patients with spontaneous intracranial hypotension. AJR Am J Roentgenol 2022;219:292–301 doi:10.2214/AJR.22.27485 pmid:35261281
    CrossRefPubMed
  2. 2.↵
    1. Madhavan AA,
    2. Benson JC,
    3. Cutsforth-Gregory JK, et al
    . Co-existing fast CSF leaks and CSF-venous fistulas on dynamic CT myelography. Radiol Case Rep 2022;17:2968–71 doi:10.1016/j.radcr.2022.05.053 pmid:35755098
    CrossRefPubMed
  3. 3.↵
    1. Dobrocky T,
    2. Nicholson P,
    3. Häni L, et al
    . Spontaneous intracranial hypotension: searching for the CSF leak. Lancet Neurol 2022;21:369–80 doi:10.1016/S1474-4422(21)00423-3 pmid:35227413
    CrossRefPubMed
  4. 4.↵
    1. Mark I,
    2. Madhavan A,
    3. Oien M, et al
    . Temporal characteristics of CSF-venous fistulas on digital subtraction myelography. AJNR Am J Neuroradiol 2023;44:492–95 doi:10.3174/ajnr.A7809 pmid:36894299
    Abstract/FREE Full Text
  5. 5.↵
    1. Madhavan AA,
    2. Verdoorn JT,
    3. Shlapak DP, et al
    . Lateral decubitus dynamic CT myelography for fast cerebrospinal fluid leak localization. Neuroradiology 2022;64:1897–903 doi:10.1007/s00234-022-02985-y pmid:35614322
    CrossRefPubMed
  6. 6.↵
    1. Kim DK,
    2. Brinjikji W,
    3. Morris PP, et al
    . Lateral decubitus digital subtraction myelography: tips, tricks, and pitfalls. AJNR Am J Neuroradiol 2020;41:21–28 doi:10.3174/ajnr.A6368 pmid:31857327
    Abstract/FREE Full Text
  7. 7.↵
    1. Schievink WI
    . Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. JAMA 2006;295:2286–96 doi:10.1001/jama.295.19.2286 pmid:16705110
    CrossRefPubMedWeb of Science
  8. 8.↵
    1. Benson JC,
    2. Madhavan AA,
    3. Cutsforth-Gregory JK, et al
    . The Monro-Kellie doctrine: a review and call for revision. AJNR Am J Neuroradiol 2023;44:2–6 doi:10.3174/ajnr.A7721 pmid:36456084
    Abstract/FREE Full Text
  9. 9.↵
    1. Bond KM,
    2. Benson JC,
    3. Cutsforth-Gregory JK, et al
    . Spontaneous intracranial hypotension: atypical radiologic appearances, imaging mimickers, and clinical look-alikes. AJNR Am J Neuroradiol 2020;41:1339–47 doi:10.3174/ajnr.A6637 pmid:32646948
    Abstract/FREE Full Text
  10. 10.↵
    1. Dobrocky T,
    2. Grunder L,
    3. Breiding PS, et al
    . Assessing spinal cerebrospinal fluid leaks in spontaneous intracranial hypotension with a scoring system based on brain magnetic resonance imaging findings. JAMA Neurol 2019;76:580–87 doi:10.1001/jamaneurol.2018.4921 pmid:30776059
    CrossRefPubMed
  11. 11.↵
    1. Pradeep A,
    2. Madhavan AA,
    3. Brinjikji W, et al
    . Incidence of spontaneous intracranial hypotension in Olmsted County, Minnesota: 2019-2021. Interv Neuroradiol J 2023 March 22. [Epub ahead of print] doi:10.1177/15910199231165429 pmid:36945844
    CrossRefPubMed
  12. 12.↵
    1. Farb RI,
    2. Nicholson PJ,
    3. Peng PW, et al
    . Spontaneous intracranial hypotension: a systematic imaging approach for CSF leak localization and management based on MRI and digital subtraction myelography. AJNR Am J Neuroradiol 2019;40:745–53 doi:10.3174/ajnr.A6016 pmid:30923083
    Abstract/FREE Full Text
  13. 13.↵
    1. Babcock JC,
    2. Johnson DR,
    3. Benson JC, et al
    . Diffuse calvarial hyperostosis and spontaneous intracranial hypotension: a case-control study. AJNR Am J Neuroradiol 2022;43:978–83 doi:10.3174/ajnr.A7557 pmid:35772803
    Abstract/FREE Full Text
  14. 14.↵
    1. Johnson DR,
    2. Carr CM,
    3. Luetmer PH, et al
    . Diffuse calvarial hyperostosis in patients with spontaneous intracranial hypotension. World Neurosurg 2021;146:e848–53 doi:10.1016/j.wneu.2020.11.066 pmid:33220476
    CrossRefPubMed
  15. 15.↵
    1. Farb RI,
    2. Forghani R,
    3. Lee SK, et al
    . The venous distension sign: a diagnostic sign of intracranial hypotension at MR imaging of the brain. AJNR Am J Neuroradiol 2007;28:1489–93 doi:10.3174/ajnr.A0621 pmid:17846197
    CrossRefPubMedWeb of Science
  16. 16.↵
    1. Kim DK,
    2. Carr CM,
    3. Benson JC, et al
    . Diagnostic yield of lateral decubitus digital subtraction myelogram stratified by brain MRI findings. Neurology 2021;96:e1312–18 doi:10.1212/WNL.0000000000011522 pmid:33472917
    Abstract/FREE Full Text
  17. 17.↵
    1. Callen AL,
    2. Pattee J,
    3. Thaker AA, et al
    . Relationship of Bern score, spinal elastance, and opening pressure in patients with spontaneous intracranial hypotension. Neurology 2023;100:e2237–46 doi:10.1212/WNL.0000000000207267 pmid:37015821
    Abstract/FREE Full Text
  18. 18.↵
    1. Schievink WI,
    2. Maya MM,
    3. Nuño M
    . Chronic cerebellar hemorrhage in spontaneous intracranial hypotension: association with ventral spinal cerebrospinal fluid leaks: clinical article. J Neurosurg Spine 2011;15:433–40 doi:10.3171/2011.5.SPINE10890 pmid:21740128
    CrossRefPubMed
  19. 19.↵
    1. Schievink WI,
    2. Maya M
    . Regression of infratentorial superficial siderosis following surgical repair of a spontaneous spinal CSF leak. Neurol Clin Pract 2021;11:e359–60 doi:10.1212/CPJ.0000000000001068 pmid:34484914
    Abstract/FREE Full Text
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 44 (11)
American Journal of Neuroradiology
Vol. 44, Issue 11
1 Nov 2023
  • Table of Contents
  • Index by author
  • Complete Issue (PDF)
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Likelihood of Discovering a CSF Leak Based on Intracranial MRI Findings in Patients without a Spinal Longitudinal Extradural Collection: A New Probabilistic Scoring System
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
John C. Benson, Ajay A. Madhavan, Ian T. Mark, Jeremy K. Cutsforth-Gregory, Waleed Brinjikji, Jared T. Verdoorn
Likelihood of Discovering a CSF Leak Based on Intracranial MRI Findings in Patients without a Spinal Longitudinal Extradural Collection: A New Probabilistic Scoring System
American Journal of Neuroradiology Nov 2023, 44 (11) 1339-1344; DOI: 10.3174/ajnr.A8030

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
MRI-Based Scoring for CSF Leak Likelihood
John C. Benson, Ajay A. Madhavan, Ian T. Mark, Jeremy K. Cutsforth-Gregory, Waleed Brinjikji, Jared T. Verdoorn
American Journal of Neuroradiology Nov 2023, 44 (11) 1339-1344; DOI: 10.3174/ajnr.A8030
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Abstract
    • ABBREVIATIONS:
    • MATERIALS AND METHODS
    • RESULTS
    • DISCUSSION
    • CONCLUSIONS
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • {beta}-Trace Protein as a Potential Biomarker for CSF-Venous Fistulas
  • Spinal CSF Leaks: The Neuroradiologist Transforming Care
  • Myelographic Techniques for the Localization of CSF-Venous Fistulas: Updates in 2024
  • Crossref
  • Google Scholar

This article has not yet been cited by articles in journals that are participating in Crossref Cited-by Linking.

More in this TOC Section

  • Management Outcomes For VO Spine Biopsy
  • Characteristics of SIH Type I Culprit Lesions
  • Advanced Imaging of Type 2 Spinal CSF Leaks
Show more Spine Imaging and Spine Image-Guided Interventions

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire