Density and Time Characteristics of CSF-Venous Fistulas on CT Myelography in Patients with Spontaneous Intracranial Hypotension.

Background and purpose: The conspicuity of CSF-venous fistulas (CVFs) on specialized myelographic imaging protocols varies, and the factors that determine their visibility have not yet been extensively studied. The purpose of this study was to determine the relative effect of 2 variables on CVF visibility: timing of imaging and intrathecal contrast attenuation.

Materials and methods: A retrospective cohort of 24 patients with spontaneous intracranial hypotension due to a CVF who underwent a total of 34 CT myelographies was studied. All CTM acquisitions that included the level of the known definite CVF were evaluated for 1) time passed after injection of contrast, 2) attenuation of the adjacent subarachnoid space, 3) subjective visibility of the CVF on that series, 4) attenuation of the corresponding draining vein, and 5) contrast dose used.

Results: A total of 131 acquisitions included the level of the known CVFs. Attenuation values of the thecal sac were significantly higher in acquisitions where the CVFs were definitely visible (average 2283 HU) than in acquisitions where the CVFs were equivocal or not visible (764 HU and 583 HU, respectively). No significant difference was shown in the timing of the acquisitions between the 3 groups (12.8 minutes, 20.4 minutes, and 17.5 minutes, respectively). Multivariate linear regression showed thecal sac attenuation to be the only independent predictor of the attenuation of the CVF draining vein. Time passed after contrast injection was not independently correlated.

Conclusions: Intrathecal contrast attenuation has a strong positive relationship with the visibility of CVF. Timing of the acquisition was not an independent predictor of CVF visibility under our acquisition protocol.