Definitive diagnosis of cerebrospinal fluid leak into the pleural space using 111In-DTPA cisternography.

Journal Article (Journal Article)

A 58-year-old woman with a calcified disk extrusion causing severe spinal stenosis underwent T8 to T9 diskectomy and spinal fusion. A postoperative pseudomeningocele was treated with lumbar drain and fibrin glue. Performed for persistent right pleural effusion, CT myelogram failed to show communication between the cerebrospinal fluid (CSF) and pleural space--even on 2-hour delayed images. Subsequent 111In-DTPA cisternogram clearly demonstrated CSF leakage into the right pleural space at 2 hours, and surgical repair yielded good results. Radionuclide cisternography is a highly useful method to detect CSF leak, especially when it is occult on CT yet suspected clinically.

Full Text

Duke Authors

Cited Authors

  • Howard, BA; Gray, L; Isaacs, RE; Borges-Neto, S

Published Date

  • March 2015

Published In

Volume / Issue

  • 40 / 3

Start / End Page

  • 220 - 223

PubMed ID

  • 25243944

Electronic International Standard Serial Number (EISSN)

  • 1536-0229

Digital Object Identifier (DOI)

  • 10.1097/RLU.0000000000000541


  • eng

Conference Location

  • United States