Sensitivity of MRI of the spine compared with CT myelography in orthostatic headache with CSF leak

Amaal Starling, Fatima Hernandez, Joseph M. Hoxworth, Terrence Trentman, Rashmi B Halker Singh, Bert B. Vargas, Eric Hastriter, David William Dodick

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Objective: To investigate the sensitivity of MRI of the spine compared with CT myelography (CTM) in detecting CSF leaks. Methods: Between July 1998 and October 2010, 12 patients with orthostatic headache and a CTM-confirmed spinal CSF leak underwent an MRI of the spinewith and without contrast. Using CTM as the gold standard, we retrospectively investigated the sensitivity of spinal MRI in detecting a CSF leak. Results: Eleven of 12 patients with a CSF leak documented by CTM also had extradural fluid collections on spinal MRI (sensitivity 91.7%). Six patients with extradural fluid collections on spinal MRI also had spinal dural enhancement. Conclusion: When compared with the gold standard of CTM, MRI of the spine appears to be a sensitive and less invasive imaging modality for detecting a spinal CSF leak, suggesting that MRI of the spine should be the imaging modality of first choice for the detection of spinal CSF leaks.

Original languageEnglish (US)
Pages (from-to)1789-1792
Number of pages4
JournalNeurology
Volume81
Issue number20
DOIs
StatePublished - Nov 12 2013

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Myelography
Headache
Spine
Imaging
Gold Standard
Modality

ASJC Scopus subject areas

  • Clinical Neurology
  • Arts and Humanities (miscellaneous)

Cite this

Sensitivity of MRI of the spine compared with CT myelography in orthostatic headache with CSF leak. / Starling, Amaal; Hernandez, Fatima; Hoxworth, Joseph M.; Trentman, Terrence; Halker Singh, Rashmi B; Vargas, Bert B.; Hastriter, Eric; Dodick, David William.

In: Neurology, Vol. 81, No. 20, 12.11.2013, p. 1789-1792.

Research output: Contribution to journalArticle

Starling, Amaal ; Hernandez, Fatima ; Hoxworth, Joseph M. ; Trentman, Terrence ; Halker Singh, Rashmi B ; Vargas, Bert B. ; Hastriter, Eric ; Dodick, David William. / Sensitivity of MRI of the spine compared with CT myelography in orthostatic headache with CSF leak. In: Neurology. 2013 ; Vol. 81, No. 20. pp. 1789-1792.
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