Incidence of Spinal CSF Leakage on CT Myelography in Patients with Nontraumatic Intracranial Subdural Hematoma
The aim of the present study was to demonstrate the incidence of spinal cerebrospinal fluid (CSF) leaks in patients with nontraumatic intracranial subdural hematoma (SDH) and determine clinical parameters favoring such leaks. This retrospective study was approved by the institutional review board. P...
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MDPI AG
2021-12-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/11/12/2278 |
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| author | Hyo Jin Kim Joon Woo Lee Eugene Lee Yusuhn Kang Joong Mo Ahn |
| author_facet | Hyo Jin Kim Joon Woo Lee Eugene Lee Yusuhn Kang Joong Mo Ahn |
| author_sort | Hyo Jin Kim |
| collection | DOAJ |
| description | The aim of the present study was to demonstrate the incidence of spinal cerebrospinal fluid (CSF) leaks in patients with nontraumatic intracranial subdural hematoma (SDH) and determine clinical parameters favoring such leaks. This retrospective study was approved by the institutional review board. Patients diagnosed with nontraumatic intracranial SDH who underwent computed tomography (CT) myelography between January 2012 and March 2018 were selected. 60 patients (male: female, 39:21; age range, 20–82 years) were enrolled and divided into CSF leak-positive and CSF leak-negative groups according to CT myelography data. Clinical findings were statistically compared between the two groups. Spinal CSF leak was observed in 80% (48/60) of patients, and it was significantly associated with an age of <69 years (<i>p</i> = 0.006). However, patients aged ≥69 years also had a tendency to exhibit spontaneous intracranial hypotension (SIH)-induced nontraumatic intracranial SDH (60.87%; 14/23). Therefore, CT myelography is recommended to be performed for the evaluation of possible SIH in patients with nontraumatic intracranial SDH, particularly those aged <69 years. Patients aged ≥69 years are also good candidates for CT myelography because SIH tends to occur even in this age group. |
| first_indexed | 2024-03-10T04:19:07Z |
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| id | doaj.art-95ea8d1076a446039f20c4f456709818 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T04:19:07Z |
| publishDate | 2021-12-01 |
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| series | Diagnostics |
| spelling | doaj.art-95ea8d1076a446039f20c4f4567098182023-11-23T07:53:52ZengMDPI AGDiagnostics2075-44182021-12-011112227810.3390/diagnostics11122278Incidence of Spinal CSF Leakage on CT Myelography in Patients with Nontraumatic Intracranial Subdural HematomaHyo Jin Kim0Joon Woo Lee1Eugene Lee2Yusuhn Kang3Joong Mo Ahn4Department of Radiology, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam 13620, KoreaDepartment of Radiology, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam 13620, KoreaDepartment of Radiology, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam 13620, KoreaDepartment of Radiology, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam 13620, KoreaDepartment of Radiology, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam 13620, KoreaThe aim of the present study was to demonstrate the incidence of spinal cerebrospinal fluid (CSF) leaks in patients with nontraumatic intracranial subdural hematoma (SDH) and determine clinical parameters favoring such leaks. This retrospective study was approved by the institutional review board. Patients diagnosed with nontraumatic intracranial SDH who underwent computed tomography (CT) myelography between January 2012 and March 2018 were selected. 60 patients (male: female, 39:21; age range, 20–82 years) were enrolled and divided into CSF leak-positive and CSF leak-negative groups according to CT myelography data. Clinical findings were statistically compared between the two groups. Spinal CSF leak was observed in 80% (48/60) of patients, and it was significantly associated with an age of <69 years (<i>p</i> = 0.006). However, patients aged ≥69 years also had a tendency to exhibit spontaneous intracranial hypotension (SIH)-induced nontraumatic intracranial SDH (60.87%; 14/23). Therefore, CT myelography is recommended to be performed for the evaluation of possible SIH in patients with nontraumatic intracranial SDH, particularly those aged <69 years. Patients aged ≥69 years are also good candidates for CT myelography because SIH tends to occur even in this age group.https://www.mdpi.com/2075-4418/11/12/2278intracranial subdural hematomaspontaneous intracranial hypotensionCT myelographyepidural blood patch |
| spellingShingle | Hyo Jin Kim Joon Woo Lee Eugene Lee Yusuhn Kang Joong Mo Ahn Incidence of Spinal CSF Leakage on CT Myelography in Patients with Nontraumatic Intracranial Subdural Hematoma Diagnostics intracranial subdural hematoma spontaneous intracranial hypotension CT myelography epidural blood patch |
| title | Incidence of Spinal CSF Leakage on CT Myelography in Patients with Nontraumatic Intracranial Subdural Hematoma |
| title_full | Incidence of Spinal CSF Leakage on CT Myelography in Patients with Nontraumatic Intracranial Subdural Hematoma |
| title_fullStr | Incidence of Spinal CSF Leakage on CT Myelography in Patients with Nontraumatic Intracranial Subdural Hematoma |
| title_full_unstemmed | Incidence of Spinal CSF Leakage on CT Myelography in Patients with Nontraumatic Intracranial Subdural Hematoma |
| title_short | Incidence of Spinal CSF Leakage on CT Myelography in Patients with Nontraumatic Intracranial Subdural Hematoma |
| title_sort | incidence of spinal csf leakage on ct myelography in patients with nontraumatic intracranial subdural hematoma |
| topic | intracranial subdural hematoma spontaneous intracranial hypotension CT myelography epidural blood patch |
| url | https://www.mdpi.com/2075-4418/11/12/2278 |
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