Faculty Collaboration Database

Spontaneous Intracranial Hypotension With Site of Leak Detected Only After 111In-DTPA Cisternogram. Clin Nucl Med 2017 Apr;42(4):e221-e223

Date

01/13/2017

Pubmed ID

28079571

DOI

10.1097/RLU.0000000000001536

Scopus ID

2-s2.0-85009414635 (requires institutional sign-in at Scopus site)   3 Citations

Abstract

A 54-year-old man with a 3-week history of orthostatic headache and acute on chronic subdural hematoma presented with imaging findings suggestive of spontaneous intracranial hypotension. Three myelograms were negative for leak, and nontargeted epidural blood patches did not result in symptom relief. A cerebrospinal fluid leak study using In-DTPA with SPECT/CT demonstrated a focal area of asymmetric activity at the left C2 nerve root. A left C2 root tie-off, targeted epidural blood patch, and Dura seal glue resulted in resolution of patient symptomatology highlighting the importance of fused SPECT/CT images in detection of an occult cerebral spinal fluid leak.

Author List

Parsian S, Matesan MC, Kumbhar SS, Lewis DH

MESH terms used to index this publication - Major topics in bold

Cerebrospinal Fluid Leak
Humans
Indium Radioisotopes
Intracranial Hypotension
Male
Middle Aged
Myelography
Pentetic Acid
Radiopharmaceuticals
Single Photon Emission Computed Tomography Computed Tomography