ArticleThe British journal of radiology2010
The contribution of 3D-CISS and contrast-enhanced MR cisternography in detecting cerebrospinal fluid leak in patients with rhinorrhoea.
Article in The British journal of radiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 98 citations in OpenAlex.
- Evidence-based approaches to cranial cerebrospinal fluid leaks in low- and middle-income countries: a systematic review of the literature.Neurosurgical review · 2024Pooled it
- High-Resolution Computed Tomography as an Initial Diagnostic and Localization Tool in Patients with Cerebrospinal Fluid Rhinorrhea: A Meta-Analysis.Medicina (Kaunas, Lithuania) · 2023Pooled it
- Diagnosis and Localization of Cerebrospinal Fluid Rhinorrhea: A Systematic Review.American journal of rhinology & allergy · 2022Pooled it
- [Etiology and treatment strategy of spontaneous cerebrospinal fluid rhinorrhea].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2020Pooled it
- Imaging of cerebrospinal fluid leakage from the cribriform plate.Radiology case reports · 2025Article
- Automatic Adaptive Algorithm for Delineation of Cerebral-Spinal Fluid Regions for Non-contrast Magnetic Resonance Imaging Volumetry and Cisternography in Mice.Bio-protocol · 2025Article
- Diagnostic efficacy of contrast-enhanced fluid-attenuated inversion recovery (FLAIR) imaging in idiopathic cerebrospinal fluid rhinorrhea.Radiology case reports · 2024Article
- Iatrogenic Cerebrospinal Fluid Leak in Endoscopic Sinus Surgery: Topographical Map and Influence of Skull Base Asymmetry.Journal of personalized medicine · 2024Article
- Intrasphenoidal cephalocoeles: Knowing the less known.SA journal of radiology · 2024Article
- Cut-off value for β-trace protein (β-TP) as a rapid diagnostic of cerebrospinal fluid (CSF) leak detection.Laryngoscope investigative otolaryngology · 2023Article
- Feasibility of 3D T1W sequences in contrast-material enhanced MR cisternography at 3T.Turkish journal of medical sciences · 2022Article
- [Diagnostic value of computed tomographic cisternography and magnetic resonance hydrography in cerebrospinal fluid rhinorrhea].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2022Article
- Diagnostic Value of Radioisotope Cisternography UsingMedicina (Kaunas, Lithuania) · 2022Review
- Predisposing conditions for bacterial meningitis in children: what radiologists need to know.Japanese journal of radiology · 2022Review
- Recurrent Community-Acquired Bacterial Meningitis in Adults.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021Article
- Pseudo-Cerebrospinal Fluid Leaks of the Anterior Skull Base: Algorithm for Diagnosis and Management.Journal of neurological surgery. Part B, Skull base · 2021Article
- What's that smell? A pictorial review of the olfactory pathways and imaging assessment of the myriad pathologies that can affect them.Insights into imaging · 2021Review
- Intrathecal use of gadobutrol for gadolinium-enhanced MR cisternography in the evaluation of patients with otorhinorrhea.Neuroradiology · 2020Article
- Community-acquired Bacterial Meningitis in Adults With Cerebrospinal Fluid Leakage.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020Article
- Balanced Steady-State Free Precession Techniques Improve Detection of Residual Germ Cell Tumor for Treatment Planning.AJNR. American journal of neuroradiology · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of this prospective study was to evaluate the value of unenhanced (three-dimensional constructive interference in steady state (3D-CISS)) and contrast-enhanced MR cisternography (CE-MRC) in detecting the localisation of cerebrospinal fluid (CSF) leak in patients with rhinorrhoea. 17 patients with active or suspected CSF rhinorrhoea were included in the study. 3D-CISS sequences in coronal and sagittal planes and fat-suppressed T1-weighted spin-echo sequences in three planes before and after intrathecal contrast media administration were obtained. Images were obtained of the cribriform plate and sphenoid sinus. In addition, high-resolution CT (HRCT) was performed in order to evaluate the bony elements. The leak was present in 9/17 patients with 3D-CISS and 10/17 patients with CE-MRC. The leak from the cribriform plate to the nasal cavity in six patients and from the sphenoid sinus in four patients was nicely shown by CE-MRC. Eight of those patients were surgically treated, but spontaneous regression of the symptoms in two precluded any intervention. The leak localisations shown with CE-MRC were fully compatible with surgical results. The sensitivities of HRCT, 3D-CISS and CE-MRC for showing CSF leakage were 88%, 76% and 100%, respectively. In conclusion, 3D-CISS is a non-invasive and reliable technique, and should be the first-choice method to localise CSF leak. CE-MRC is helpful in conditions when there is no leak or in complicated cases with a positive beta2-transferrin measurement.
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