Indian Journal of Radiology and Imaging Indian Journal of Radiology and Imaging

NEURORADIOLOGY
Year
: 2012  |  Volume : 22  |  Issue : 2  |  Page : 108--115

Case Series: Long segment extra-arachnoid fluid collections: Role of dynamic CT myelography in diagnosis and treatment planning


Shehanaz Ellika, Horia Marin, Mitchell Pace, Daniel Newman, Muwaffak Abdulhak, Maximilian Kole 
 Department of Radiology, Henry Ford Health System, Detroit, MI, USA

Correspondence Address:
Horia Marin
Division of Neuroradiology, Department of Radiology, Henry Ford Health Systems, 2799 West Grand Blvd, Detroit, 48202. MI
USA

We report five patients in whom spinal MRI revealed extra-arachnoid fluid collections. These spinal fluid collections most likely resulted from accumulation of cerebrospinal fluid (CSF) from a dural leak. The patients presented with either compressive myelopathy due to the cyst or superficial siderosis (SS). All of these fluid collections were long segment, and MRI demonstrated the fluid collections but not the exact site of leak. Dynamic CT myelogram demonstrated the site of leak and helped in the management of these complicated cases. Moreover, we also found that the epicenter of the fluid collection on MRI was different from the location of the leak on a dynamic CT myelogram. Knowledge of these associations can be helpful when selecting the imaging studies to facilitate diagnosis and treatment.


How to cite this article:
Ellika S, Marin H, Pace M, Newman D, Abdulhak M, Kole M. Case Series: Long segment extra-arachnoid fluid collections: Role of dynamic CT myelography in diagnosis and treatment planning.Indian J Radiol Imaging 2012;22:108-115


How to cite this URL:
Ellika S, Marin H, Pace M, Newman D, Abdulhak M, Kole M. Case Series: Long segment extra-arachnoid fluid collections: Role of dynamic CT myelography in diagnosis and treatment planning. Indian J Radiol Imaging [serial online] 2012 [cited 2019 Nov 18 ];22:108-115
Available from: http://www.ijri.org/article.asp?issn=0971-3026;year=2012;volume=22;issue=2;spage=108;epage=115;aulast=Ellika;type=0