Iffenecker C, Benoudiba F, Parker F, Fuerxer F, David P, Tadié M, Bobin S, Doyon D
Service de Neuroradiologie, Hôpital de Bicêtre, Le Kremlin Bicêtre.
J Radiol. 1999 Jan;80(1):37-43.
Results of CT and MRI explorations in 8 patients with cerebrospinal fluid (CSF) fistulae are reported and compared with surgical findings in 7. Sensitivity of MRI (CISS and fast T2 spin-echo sequences) was excellent giving perfect correlations with surgical findings in 7/7 cases. CT and MRI were found to provide complementary information suggesting they should be used in combination as first intention explorations of suspected CSF fistulae. Computerized cisternography should be used if MRI is contraindicated or if a clinically and biologically proven CSF fistulae is not visualized by CT or MRI.
报告了8例脑脊液漏患者的CT和MRI检查结果,并与7例患者的手术结果进行了比较。MRI(CISS和快速T2自旋回波序列)的敏感性极佳,在7/7例中与手术结果完全相关。发现CT和MRI可提供互补信息,表明它们应联合用作疑似脑脊液漏的首选检查方法。如果MRI有禁忌证,或者临床和生物学证实的脑脊液漏在CT或MRI上未显示,则应使用计算机化脑池造影。