Spinal CSF Leaks: The Neuroradiologist Transforming Care

Mark D Mamlouk; Andrew L Callen; Ajay A Madhavan; Niklas Lützen; Lalani Carlton Jones; Ian T Mark; Waleed Brinjikji; John C Benson; Jared T Verdoorn; D K Kim; Timothy J Amrhein; Linda Gray; William P Dillon; Marcel M Maya; Thien J Huynh; Vinil N Shah; Tomas Dobrocky; Eike I Piechowiak; Joseph Levi Chazen; Michael D Malinzak; Jessica L Houk; Peter G Kranz

doi:10.3174/ajnr.A8484

Spinal CSF Leaks: The Neuroradiologist Transforming Care

AJNR Am J Neuroradiol. 2024 Aug 29:ajnr.A8484. doi: 10.3174/ajnr.A8484. Online ahead of print.

Authors

Mark D Mamlouk¹, Andrew L Callen¹, Ajay A Madhavan¹, Niklas Lützen¹, Lalani Carlton Jones¹, Ian T Mark¹, Waleed Brinjikji¹, John C Benson¹, Jared T Verdoorn¹, D K Kim¹, Timothy J Amrhein¹, Linda Gray¹, William P Dillon¹, Marcel M Maya¹, Thien J Huynh¹, Vinil N Shah¹, Tomas Dobrocky¹, Eike I Piechowiak¹, Joseph Levi Chazen¹, Michael D Malinzak¹, Jessica L Houk¹, Peter G Kranz¹

Affiliation

¹ From the Department of Radiology (M.D.M.), The Permanente Medical Group, Kaiser Permanente Medical Center, Santa Clara, Santa Clara, California; Department of Radiology and Biomedical Imaging (M.D.M., W.P.D. V.N.H.), University of California, San Francisco, San Francisco, California; Department of Radiology (A.L.C.), University of Colorado School of Medicine Anschutz Medical Campus, Aurora, Colorado; Department of Radiology (A.A.M., I.T.M., W.B., J.C.B., J.T.V., D.K.K), Mayo Clinic, Rochester, Minnesota; Department of Neuroradiology (N.K.), University of Freiburg, Freiburg, Germany; Department of Radiology (L.C.J.), Guys and St Thomas's and Kings College Hospital Foundation Trusts, London, UK; Department of Radiology (T.J.A., L.G., M.D.M., J.L.H., P.G.K.) Duke University Hospital, Durham, North Carolina; Department of Imaging (M.M.M.), Cedars-Sinai Medical Center, Los Angeles, California; Department of Radiology (T.J.H.), Mayo Clinic, Jacksonville, Florida; Department of Diagnostic and Interventional Neuroradiology (T.D., E.I.P.), University of Bern, Inselspital, Bern, Switzerland; Department of Radiology (J.L.C.), Hospital for Special Surgery and Weill Cornell Medicine, New York, NY.

PMID: 39209484
DOI: 10.3174/ajnr.A8484

Abstract

SUMMARY: Spinal CSF leak care has considerably evolved over the past several years due to pivotal advances in its diagnosis and treatment. To the reader of the AJNR, it has been impossible to miss the exponential increase in groundbreaking research on spinal CSF leaks and spontaneous intracranial hypotension (SIH). While many clinical specialties have contributed to these successes, the neuroradiologist has been instrumental in driving this transformation due to innovations in non-invasive imaging, novel myelographic techniques, and imageguided therapies. In this editorial, we will delve into the exciting advancements in spinal CSF leak diagnosis and treatment and celebrate the vital role of the neuroradiologist at the forefront of this revolution, with particular attention to CSF leak related work published in the AJNR.ABBREVIATIONS: SIH = spontaneous intracranial hypotension; CVF = CSF-venous fistula; CTM = CT myelography; DSM = digital subtraction myelography; CB-CTM = conebeam CT myelography; PCD-CT = photon counting detector CT.

Publication types

Editorial