Technical Review and Considerations for a Cerebrospinal Fluid Leakage Study
Within the past decade, published diagnostic algorithms for cerebrospinal fluid (CSF) leakage have included beta-2-transferrin analysis, rigid nasal endoscopy, high-resolution CT, CT cisternography, CT fluorescein lumbar puncture, and MRI but have not included the nuclear medicine CSF leakage study....
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| Veröffentlicht in: | Journal of nuclear medicine technology 2006-03, Vol.34 (1), p.48-51 |
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| creator | Grantham, Vesper V Blakley, Brian Winn, Jan |
| description | Within the past decade, published diagnostic algorithms for cerebrospinal fluid (CSF) leakage have included beta-2-transferrin analysis, rigid nasal endoscopy, high-resolution CT, CT cisternography, CT fluorescein lumbar puncture, and MRI but have not included the nuclear medicine CSF leakage study. However, some physicians still use this study today. This case report reviews the procedure and data calculations for the study. The presented case demonstrates how patient ingenuity in maintaining a compromised pledget for counting after sneezing contributed to the final diagnostic outcome. The patient was a 58-y-old man who presented with persistent nasal drainage and headaches, with no history of previous head trauma or surgery. The patient was referred to the nuclear medicine department for a CSF leakage study, which had positive findings and led to a final diagnosis of a large dural and skull defect posteriorly over the ethmoid sinuses. |
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However, some physicians still use this study today. This case report reviews the procedure and data calculations for the study. The presented case demonstrates how patient ingenuity in maintaining a compromised pledget for counting after sneezing contributed to the final diagnostic outcome. The patient was a 58-y-old man who presented with persistent nasal drainage and headaches, with no history of previous head trauma or surgery. 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The patient was referred to the nuclear medicine department for a CSF leakage study, which had positive findings and led to a final diagnosis of a large dural and skull defect posteriorly over the ethmoid sinuses.</description><subject>Cerebrospinal Fluid - diagnostic imaging</subject><subject>Humans</subject><subject>Image Enhancement - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Positron-Emission Tomography - methods</subject><subject>Practice Guidelines as Topic</subject><subject>Practice Patterns, Physicians</subject><subject>Subdural Effusion - diagnostic imaging</subject><issn>0161-5505</issn><issn>0091-4916</issn><issn>1535-5667</issn><issn>1535-5675</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkF1LwzAUhoMobk7_ggQvvCskTfPRSynOiQNBdx-S5nTN7NqZtI79ezucCF695-LhOS_vGZpSznjChZDnaEqooAnnhE_QVYwbQohQSl2iCRWcylzkU_SygrJufWka_AZfHvbYtA4XXRu9g2B6P1646gI2uIAANnRx59uRnjeDd3gJ5sOsAb_3gztco4vKNBFuTjlDq_njqlgky9en5-JhmdSpkH3CZWad4M5Ka21OVM4tqapMESlLyU1lXJoy4sClnFlZ5VSkVLEq5-BKC4zN0P2Pdhe6zwFir7c-ltA0poVuiFpImdIsJSN49w_cdEMYy0c9GgXNFTvabk_QYLfg9C74rQkH_TvR37var-u9D6DboWzAhCPdj-uxTFOdKfYNEXBweQ</recordid><startdate>20060301</startdate><enddate>20060301</enddate><creator>Grantham, Vesper V</creator><creator>Blakley, Brian</creator><creator>Winn, Jan</creator><general>Soc Nuclear Med</general><general>Society of Nuclear Medicine</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20060301</creationdate><title>Technical Review and Considerations for a Cerebrospinal Fluid Leakage Study</title><author>Grantham, Vesper V ; 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| identifier | ISSN: 0161-5505 |
| ispartof | Journal of nuclear medicine technology, 2006-03, Vol.34 (1), p.48-51 |
| issn | 0161-5505 0091-4916 1535-5667 1535-5675 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Cerebrospinal Fluid - diagnostic imaging Humans Image Enhancement - methods Male Middle Aged Positron-Emission Tomography - methods Practice Guidelines as Topic Practice Patterns, Physicians Subdural Effusion - diagnostic imaging |
| title | Technical Review and Considerations for a Cerebrospinal Fluid Leakage Study |
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