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Direct pseudomeningocele contrast injection for spinal CSF leak localization.

Ian T MarkAjay A MadhavanDavid R DeloneMichael P OienSteven A Messina
Published in: The neuroradiology journal (2023)
CT myelography has been traditionally used to evaluate post-operative paraspinal fluid collections to discern CSF leaking into a pseudomeningocele versus a contained seroma. Rather than performing a lumbar puncture and injecting intrathecal contrast for myelography, we present the first report of direct contrast injection into a post-operative paraspinal pseudomeningocele for CSF leak confirmation and localization. This is a simple procedure that has several advantages over a conventional CT myelogram for the evaluation of post-operative paraspinal fluid collections.
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