- Resisted Inspiration Improves Visualization of CSF-Venous Fistulas in Spontaneous Intracranial Hypotension
This retrospective cohort of patients with observed or suspected CSF-venous fistula identified during standard maximum suspended inspiration CT myelography were rescanned using resisted inspiration and the Valsalva maneuver. Visibility of the CSF-venous fistula was greatest during resisted inspiration in most of the cases.
- 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.
AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates