- Why, How Often, and What Happens When We Fail: A Retrospective Analysis of Failed Fluoroscopically Guided Lumbar Punctures
Initial and repeat FGLPs have very high success rates. No difference exists in the likelihood of patients returning for a re-attempt based on clinical indication.
- Efficacy of Epidural Blood Patching or Surgery in Spontaneous Intracranial Hypotension: A Systematic Review and Evidence Map
Evidence gaps demonstrate a need for prospective study designs, clinical trials, and comparative studies. The authors recommend using the International Classification of Headache Disorders-3 diagnostic criteria, explicit reporting of CSF leak subtype, inclusion of key procedural details, and using objective validated outcome measures collected at uniform time points.
- Utility of Photon-Counting Detector CT Myelography for the Detection of CSF-Venous Fistulas
In all 6 cases, precise localization of the CVF on PCD CTM was instrumental in permitting targeted treatment.
- Temporal Characteristics of CSF-Venous Fistulas on Digital Subtraction Myelography
This is the first study to report the temporal characteristics of CSF-venous fistulas using digital subtraction myelography. The authors found that, on average, the CSF-venous fistula appeared 9.1 seconds (range, 0-30 seconds) after intrathecal contrast reached the spinal level.
- Modified Dynamic CT Myelography for Type 1 and 2 CSF Leaks: A Procedural Approach
Modified dynamic CT myelography performed with single scan acquisitions, smaller volume of contrast, and reduced scan coverage can reduce the radiation dose for type 1 and 2 CSF leak detection.
- Conebeam CT as an Adjunct to Digital Subtraction Myelography for Detection of CSF-Venous Fistulas
The authors describe a technique involving conebeam CT performed during intrathecal contrast injection as an adjunct to digital subtraction myelography, allowing identification of some otherwise-missed CSF-venous fistulas.
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