Resisted Inspiration Improves Visualization of CSF-Venous Fistulas in Spontaneous Intracranial Hypotension

Review Clinical Neurology

Anatomy of Spinal Venous Drainage for the Neurointerventionalist: From Puncture Site to Intervertebral Foramen

N. Borg et al.

Summary: This article summarizes the treatment experience and anatomical knowledge of CSF-venous fistulas, providing a practical guide for doctors performing transvenous spinal procedures.

AMERICAN JOURNAL OF NEURORADIOLOGY (2022)

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Article Clinical Neurology

Resisted Inspiration: A New Technique to Aid in the Detection of CSF-Venous Fistulas

I. T. Mark et al.

Summary: The article introduces a technique called "resisted inspiration" that can lower superior vena cava venous pressure and increase lumbar cerebrospinal fluid (CSF) pressure during myelography, potentially aiding in the detection of CSF-venous fistulas.

AMERICAN JOURNAL OF NEURORADIOLOGY (2022)

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Article

Co-existing fast CSF leaks and CSF-venous fistulas on dynamic CT myelography

Ajay A. Madhavan et al.

Radiology Case Reports (2022)

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Article Clinical Neurology

Resisted Inspiration: A New Technique to Aid in the Detection of CSF-Venous Fistulas

I. T. Mark et al.

Summary: The described technique of "resisted inspiration" can help decrease superior vena cava venous pressure and increase lumbar CSF pressure during myelography, potentially aiding in the detection of CSF-venous fistulas.

AMERICAN JOURNAL OF NEURORADIOLOGY (2022)

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Article Clinical Neurology

A Novel Endovascular Therapy for CSF Hypotension Secondary to CSF-Venous Fistulas

W. Brinjikji et al.

Summary: Transvenous embolization of the paraspinal vein is effective in treating spontaneous intracranial hypotension, with favorable clinical outcomes.

AMERICAN JOURNAL OF NEURORADIOLOGY (2021)

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Article Radiology, Nuclear Medicine & Medical Imaging

CT-guided Fibrin Glue Occlusion of Cerebrospinal Fluid-Venous Fistulas

Mark D. Mamlouk et al.

Summary: This study reviewed the treatment outcomes of CT-guided fibrin glue occlusion in 13 patients with CVFs. The results showed that this method was effective in improving symptoms and achieving resolution in CVFs patients. Further studies are needed to determine the long-term efficacy of this treatment.

RADIOLOGY (2021)

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Review Radiology, Nuclear Medicine & Medical Imaging

CSF-Venous Fistulas: Anatomy and Diagnostic Imaging

Peter G. Kranz et al.

Summary: CSF-venous fistulas are an important cause of spontaneous intracranial hypotension, but can be challenging to detect on conventional imaging. Specialized myelographic techniques have been developed to aid in identification of CVFs, though further dissemination is needed. Knowledge of different imaging techniques is crucial in treating patients with spontaneous intracranial hypotension.

AMERICAN JOURNAL OF ROENTGENOLOGY (2021)

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Article Clinical Neurology

Spinal CSF-Venous Fistulas in Morbidly and Super Obese Patients with Spontaneous Intracranial Hypotension

W. Schievink et al.

Summary: Spinal CSF-venous fistulas are increasingly recognized as a cause of spontaneous intracranial hypotension. In patients with morbid or super obesity, digital subtraction myelography can effectively identify CSF-venous fistulas, with a yield approaching that of nonobese patients. These patients may be at higher risk of developing rebound high-pressure headaches and papilledema.

AMERICAN JOURNAL OF NEURORADIOLOGY (2021)

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Article Clinical Neurology

Decubitus CT Myelography for CSF-Venous Fistulas: A Procedural Approach

M. D. Mamlouk et al.

Summary: Decubitus CT myelography is a method to identify CSF-venous fistulas by using gravity to dependently opacify the fistula, which may be missed on traditional techniques. Most fistulas are identified in patients under general anesthesia and digital subtraction myelography, not available at all institutions. This article discusses the technique of decubitus CT myelography and its implementation in daily practice.

AMERICAN JOURNAL OF NEURORADIOLOGY (2021)

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Article Clinical Neurology