According to the ACR-ASNR guidelines for myelography and
cisternography, "historical or laboratory evidence of bleeding disorder or coagulopathy" is cited as a relative contraindication (9).
Evaluation of MR
cisternography of the cerebellopontine angle using a balanced fast-field-echo sequence: preliminary findings.
All second-line treatments require leak localization with spinal imaging, such as MRI, CT, myelogram, and nuclear medicine
cisternography.
Various methods are used for diagnosis such as brain MRI, MR or CT myelography, and radionuclide
cisternography. MRI findings are subdural fluid collections, pachymeningeal enhancement, sagging of the brain structures, and engorgement of venous structures (1).
The diagnostic criteria of traumatic CSF leakage is defined as follows: (1) early vesicular radioisotope
cisternography (RIC) accumulation (EVA); (2) promoted radioisotope (RI) clearance from the spinal cavity; (3) presence of abnormal paraspinal RI accumulation (PSA) [20].
Tainturier, "Spontaneous intracranial hypotension: MRI and radionuclide
cisternography findings [5]," Journal of Neurology, Neurosurgery & Psychiatry, vol.
Contrast-enhanced CT (CECT) scan with
cisternography revealed a large lobulated mass of size 81 x 53 x 82 mm in the left zygomatic and masseteric region with intracranial extension (Figure 1(a)).
Surgical repair and detection of cerebrospinal fluid rhinorrhea using magnetic resonance
cisternography and skull base coronal thin-section computed tomography scan.
CT
cisternography and radionuclide
cisternography can be used if a defect is not detected on CT.
There are data to support the use of either high-resolution CT scan, MRI, or CT/MRI
cisternography for diagnosis of the basilar skull defects in CSF rhinorrhea [12].
MR
cisternography including FIESTA is useful in evaluations of the cystic wall because of the higher contrast-to-noise ratio and brain tissue/CSF contrast [11] but lacks contrast between soft tissues and even between soft tissues and bone [11].
Peng, "Asymmetric radiotracer activity of enlarged cerebral spinal fluid space on radionuclide
cisternography with SPET/CT," Hellenic Journal of Nuclear Medicine, vol.
