Troy A Hutchins, Anton Peled, Miriam Peckham, Lubdha M Shah, Forrest Hamrick, Lidia Guzhva, Ramesh Grandhi
{"title":"术中csf -静脉瘘栓塞前后评价的微导管鞘内选择性髓造影。","authors":"Troy A Hutchins, Anton Peled, Miriam Peckham, Lubdha M Shah, Forrest Hamrick, Lidia Guzhva, Ramesh Grandhi","doi":"10.3174/ajnr.A9041","DOIUrl":null,"url":null,"abstract":"<p><p>Recognition of cerebrospinal fluid-venous fistulas as a cause of spontaneous intracranial hypotension is increasing. Currently, lateral decubitus digital subtraction myelography and lateral decubitus CT myelography are the mainstays for diagnosing cerebrospinal fluid- venous fistulas. Although various methods exist for diagnostic assessment of spinal cerebrospinal fluid-venous fistulas, real-time intraprocedural evaluation during endovascular treatment has yet to be described. We report our experience with real-time intraprocedural evaluation of a cerebrospinal fluid-venous fistula before and after transvenous embolization using the technique of microcatheter intrathecal selective myelography.ABBREVIATIONS: CVF = cerebrospinal fluid-venous fistula; CTM = computed tomography myelography; DSM = digital subtraction myelography; mISM = microcatheter intrathecal selective myelography.</p>","PeriodicalId":93863,"journal":{"name":"AJNR. American journal of neuroradiology","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Microcatheter Intrathecal Selective Myelography for Intraprocedural CSF-Venous Fistula Evaluation Pre-and Post-Embolization.\",\"authors\":\"Troy A Hutchins, Anton Peled, Miriam Peckham, Lubdha M Shah, Forrest Hamrick, Lidia Guzhva, Ramesh Grandhi\",\"doi\":\"10.3174/ajnr.A9041\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Recognition of cerebrospinal fluid-venous fistulas as a cause of spontaneous intracranial hypotension is increasing. Currently, lateral decubitus digital subtraction myelography and lateral decubitus CT myelography are the mainstays for diagnosing cerebrospinal fluid- venous fistulas. Although various methods exist for diagnostic assessment of spinal cerebrospinal fluid-venous fistulas, real-time intraprocedural evaluation during endovascular treatment has yet to be described. We report our experience with real-time intraprocedural evaluation of a cerebrospinal fluid-venous fistula before and after transvenous embolization using the technique of microcatheter intrathecal selective myelography.ABBREVIATIONS: CVF = cerebrospinal fluid-venous fistula; CTM = computed tomography myelography; DSM = digital subtraction myelography; mISM = microcatheter intrathecal selective myelography.</p>\",\"PeriodicalId\":93863,\"journal\":{\"name\":\"AJNR. American journal of neuroradiology\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-10-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"AJNR. American journal of neuroradiology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3174/ajnr.A9041\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"AJNR. American journal of neuroradiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3174/ajnr.A9041","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Recognition of cerebrospinal fluid-venous fistulas as a cause of spontaneous intracranial hypotension is increasing. Currently, lateral decubitus digital subtraction myelography and lateral decubitus CT myelography are the mainstays for diagnosing cerebrospinal fluid- venous fistulas. Although various methods exist for diagnostic assessment of spinal cerebrospinal fluid-venous fistulas, real-time intraprocedural evaluation during endovascular treatment has yet to be described. We report our experience with real-time intraprocedural evaluation of a cerebrospinal fluid-venous fistula before and after transvenous embolization using the technique of microcatheter intrathecal selective myelography.ABBREVIATIONS: CVF = cerebrospinal fluid-venous fistula; CTM = computed tomography myelography; DSM = digital subtraction myelography; mISM = microcatheter intrathecal selective myelography.