Luotonen J, Jokinen K, Laitinen J
J Laryngol Otol. 1986 Aug;100(8):955-8. doi: 10.1017/s0022215100100398.
Localisation of a cerebrospinal fluid fistula in the nasal region is difficult. Lack of a suitable roentgen contrast medium for intrathecal use has earlier restricted the utility of cisternography. Metrizamide cisternography and CT have recently proved to be well tolerated and effective in revealing CSF fistulae. A case report of operatively treated CSF rhinorrhea recurring after three years is presented. With the help of CT metrizamide cisternography, the fistula could finally be localised in the sphenoidal sinus. The re-operation confirmed this finding. The technique of cisternography is described.
鼻区脑脊液瘘的定位很困难。缺乏适用于鞘内使用的X线造影剂，这在早期限制了脑池造影的应用。甲泛葡胺脑池造影和CT最近已被证明耐受性良好且在揭示脑脊液瘘方面有效。本文报告了一例经手术治疗的脑脊液鼻漏三年后复发的病例。借助CT甲泛葡胺脑池造影，最终确定瘘位于蝶窦。再次手术证实了这一发现。本文描述了脑池造影技术。
