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Localisation of a CSF fistula by metrizamide CT cisternography

Published online by Cambridge University Press:  29 June 2007

J. Luotonen ,
K. Jokinen  and
J. Laitinen
J. Luotonen*
Affiliation:
Department of Otolaryngology, University of Oulu, Oulu, Finland.
K. Jokinen
Affiliation:
Department of Otolaryngology, University of Oulu, Oulu, Finland.
J. Laitinen
Affiliation:
Department of Roentgendiagnostics, Oulu University Central Hospital, Oulu, Finland.
*
Dr. Jukka Luotonen, Department of Otolaryngology, University of Oulu, SF-90220 Oulu, Finland.
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Abstract

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 theutility 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.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 100 , Issue 8 , August 1986 , pp. 955 - 958
Copyright
Copyright © JLO (1984) Limited 1986

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