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Congress: ECR26
Poster Number: C-17529
Type: Poster: EPOS Radiologist (educational)
Authorblock: S. Reddy K, S. R. Kankara, S. K. Deepalam, D. Jayanna, U. Nayak, S. G. G. KUMAR, C. Nagesh, A. Josephine, V. M. Tellis; Bangalore/IN
Disclosures:
Shravan Reddy K: Nothing to disclose
Shreyas Reddy Kankara: Nothing to disclose
Sai Kanth Deepalam: Nothing to disclose
Dhanush Jayanna: Nothing to disclose
Unnathi Nayak: Nothing to disclose
SHARATH G G KUMAR: Nothing to disclose
Chinmay Nagesh: Nothing to disclose
Arpitha Josephine: Nothing to disclose
Vilas Melrick Tellis: Nothing to disclose
Keywords: Neuroradiology brain, Neuroradiology spine, MR, MR-Angiography, Diagnostic procedure, Myelography, Cerebrospinal fluid, Diverticula, Haemodynamics / Flow dynamics
References
  1. Schievink WI, Maya MM, Jean-Pierre S, Nuño M, Prasad RS, Moser FG. A classification system of spontaneous spinal CSF leaks. Neurology. 2016 Aug 16;87(7):673–9.
  2. D’Antona L, Jaime Merchan MA, Vassiliou A, Watkins LD, Davagnanam I, Toma AK, et al. Clinical Presentation, Investigation Findings, and Treatment Outcomes of Spontaneous Intracranial Hypotension Syndrome: A Systematic Review and Meta-analysis. JAMA Neurol. 2021 Mar 1;78(3):329–37.
  3. Kranz PGG L; Malinzak, M D; Amrhein, TJ. Spontaneous intracranial hypotension: pathogenesis, diagnosis, and treatment. Neuroimaging Clin N Am. 2019;29(04):581–94.
  4. Farb RIN P J; Peng, PW. Spontaneous intracranial hypotension: a systematic imaging approach for CSF leak localization and management based on MRI and digital subtraction myelography. Am J Neuroradiol. 2019;40(04):745–53.
  5. Michali-Stolarska MB J; Stolarski, M; Sąsiadek, MJ. Diagnostic imaging and clinical features of intracranial hypotension – review of literature. Pol J Radiol. 2017;82:842–9.
  6. Mokri B. The Monro-Kellie hypothesis: applications in CSF volume depletion. Neurology. 2001;56(12):1746–8.
  7. Kim SCR I; Sun, H Y; Park, SW. MRI findings of spontaneous intracranial hypotension: usefulness of straight sinus distention. Am J Roentgenol. 2019;212(05):1129–35.
  8. Michali-Stolarska MB J; Stolarski, M; Sąsiadek, MJ. Diagnostic imaging and clinical features of intracranial hypotension – review of literature. Pol J Radiol. 2017;82:842–9.
  9. Jones LC, Butteriss D, Scoffings D. Spontaneous intracranial hypotension: the role of radiology in diagnosis and management. Clinical Radiology. 2022 Mar 1;77(3):e181–94.
  10. Govindappa SKG, Adiga CP, Kumar S, Goolahally LN, Kumar S. Spontaneous Intracranial Hypotension: A Review of Neuroimaging and Current Concepts. Indian J Radiol Imaging. 2024 Jan;34(1):128–38.
  11. Li M, Li Y, Tai L, Li H, Wang LQ, Zou YL, et al. Cerebral venous thrombosis caused by spontaneous intracranial hypotension due to spontaneous spinal cerebrospinal fluid leakage in the high cervical region: a case report. Front Neurol. 2023 Oct 26;14:1256200.
  12. Benson JCM A A; Cutsforth Gregory, J K; Johnson, D R; Carr, CM. The Monro-Kellie doctrine: a review and call for revision. Am J Neuroradiol. 2023;44(01):2–6.
  13. Callen ALT V M; Schwertner, A. Algorithmic multimodality approach to diagnosis and treatment of spinal CSF leak and venous fistula in patients with spontaneous intracranial hypotension. Am J Roentgenol. 2022;219(02):292–301.
  14. Takahashi T, Yanaka K, Aiyama H, Saura M, Kajita M, Takahashi N, et al. Significance of upper cervical epidural venous engorgement on head computed tomography in the initial diagnosis of spontaneous intracranial hypotension: patient series. J Neurosurg Case Lessons. 2024 Feb 26;7(9):CASE23702.
  15. Lützen NZ A; Beck, J; Urbach, H. Teaching neuroimages: dynamic digital subtraction myelography discloses a ventral CSF leak in a patient with upper limb amyotrophy. Clin Neuroradiol. 2023;33(01):245–6.
  16. “Flow void sign”: flow artefact on T2-weighted MRI can be an indicator of dural defect location in ventral type 1 spinal CSF leaks | American Journal of Neuroradiology [Internet]. [cited 2025 Dec 9]. Available from: https://www.ajnr.org/content/early/2024/08/12/ajnr.A8445
  17. Kranz PGL P H; Diehn, F E; Amrhein, T J; Tanpitukpongse, T P; Gray, L. Myelographic techniques for the detection of spinal CSF leaks in spontaneous intracranial hypotension. Am J Roentgenol. 2016;206(01):8–19.
  18. Kranz PG, Gray L, Malinzak MD, Houk JL, Kim DK, Amrhein TJ. CSF–Venous Fistulas: Anatomy and Diagnostic Imaging. American Journal of Roentgenology. 2021 Dec;217(6):1418–29.
  19. Chazen JL, Talbott JF, Lantos JE, Dillon WP. MR Myelography for Identification of Spinal CSF Leak in Spontaneous Intracranial Hypotension. AJNR Am J Neuroradiol. 2014 Oct;35(10):2007–12.
  20. Schwartz FR, Kranz PG, Malinzak MD, Cox DN, Ria F, McCabe C, et al. Myelography Using Energy-Integrating Detector CT Versus Photon-Counting Detector CT for Detection of CSF-Venous Fistulas in Patients With Spontaneous Intracranial Hypotension. American Journal of Roentgenology. 2024 Apr;222(4):e2330673.
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