POSTTRAUMATIC CEREBROSPINAL-FLUID RHINORRHEA - MODERN HIGH-DEFINITIONCOMPUTED-TOMOGRAPHY IS ALL THAT IS REQUIRED FOR THE EFFECTIVE DEMONSTRATION OF THE SITE OF LEAKAGE
Mnh. Lloyd et al., POSTTRAUMATIC CEREBROSPINAL-FLUID RHINORRHEA - MODERN HIGH-DEFINITIONCOMPUTED-TOMOGRAPHY IS ALL THAT IS REQUIRED FOR THE EFFECTIVE DEMONSTRATION OF THE SITE OF LEAKAGE, Clinical Radiology, 49(2), 1994, pp. 100-103
Accurate definition of the site of cerebrospinal fluid (CSF) leakage i
s essential for the successful surgical management of CSF rhinorrhoea
and associated recurrent meningitis. Previous attempts to image the si
tes of leakage, including conventional computed tomography (CT) and ci
sternography using either iodine-containing contrast media or radionuc
lides, have given disappointing results.A dedicated high-resolution co
mputed tomographic (CT) technique combining fine slices in two planes
with a bone algorithm for data manipulation is described and the resul
ts in 15 consecutive patients are recorded. This technique promises to
render all other diagnostic methods obsolete.