Sensitivity of MRI of the spine compared with CT myelography in orthostatic headache with CSF leak.

Abstract:

OBJECTIVE:To investigate the sensitivity of MRI of the spine compared with CT myelography (CTM) in detecting CSF leaks. METHODS:Between July 1998 and October 2010, 12 patients with orthostatic headache and a CTM-confirmed spinal CSF leak underwent an MRI of the spine with and without contrast. Using CTM as the gold standard, we retrospectively investigated the sensitivity of spinal MRI in detecting a CSF leak. RESULTS:Eleven of 12 patients with a CSF leak documented by CTM also had extradural fluid collections on spinal MRI (sensitivity 91.7%). Six patients with extradural fluid collections on spinal MRI also had spinal dural enhancement. CONCLUSION:When compared with the gold standard of CTM, MRI of the spine appears to be a sensitive and less invasive imaging modality for detecting a spinal CSF leak, suggesting that MRI of the spine should be the imaging modality of first choice for the detection of spinal CSF leaks.

journal_name

Neurology

journal_title

Neurology

authors

Starling A,Hernandez F,Hoxworth JM,Trentman T,Halker R,Vargas BB,Hastriter E,Dodick D

doi

10.1212/01.wnl.0000435555.13695.22

subject

Has Abstract

pub_date

2013-11-12 00:00:00

pages

1789-92

issue

20

eissn

0028-3878

issn

1526-632X

pii

01.wnl.0000435555.13695.22

journal_volume

81

pub_type

杂志文章
  • Patient-acceptable symptom states in myasthenia gravis.

    abstract:OBJECTIVES:To estimate patient-acceptable symptom state (PASS) cut points for myasthenia gravis (MG) health scales. METHODS:We conducted an electronic survey that included the Myasthenia Gravis Impairment Index (MGII), EuroQol 5-Dimension (EQ5D), and a simple PASS question. PASS-anchored thresholds were estimated for ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010574

    authors: Mendoza M,Tran C,Bril V,Katzberg HD,Barnett C

    更新日期:2020-09-22 00:00:00

  • Serum folate and chronic fatigue syndrome.

    abstract::We assayed serum folate levels of 60 patients with chronic fatigue syndrome (CFS) and found that 50% had values below 3.0 micrograms/l. Some patients with CFS are deficient in folic acid. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.12.2645

    authors: Jacobson W,Saich T,Borysiewicz LK,Behan WM,Behan PO,Wreghitt TG

    更新日期:1993-12-01 00:00:00

  • A 50-year follow-up of the incidence of multiple sclerosis in Hordaland County, Norway.

    abstract:OBJECTIVE:To assess longitudinal follow-up of the incidence of multiple sclerosis (MS) through five decades and estimate the prevalence rate in Hordaland County, Norway, on January 1, 2003. METHODS:All patients with MS diagnosed from 1953 to 2003 were identified in the patient records of the Department of Neurology, H...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000195549.95448.b9

    authors: Grytten N,Glad SB,Aarseth JH,Nyland H,Midgard R,Myhr KM

    更新日期:2006-01-24 00:00:00

  • Comorbidity is associated with disease activity in MS: Findings from the CombiRx trial.

    abstract:OBJECTIVE:To determine whether comorbidity is associated with clinical (relapses, disability worsening) and MRI outcomes in multiple sclerosis (MS) by conducting a secondary analysis of the CombiRx clinical trial. METHODS:CombiRx compared interferon beta-1a, glatiramer acetate, and the combination of these agents. For...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/WNL.0000000000010024

    authors: Salter A,Kowalec K,Fitzgerald KC,Cutter G,Marrie RA

    更新日期:2020-08-04 00:00:00

  • Widening spectrum of congenital hemiplegia: Periventricular venous infarction in term neonates.

    abstract::MRI in five term children with congenital hemiplegia without clinically apparent prenatal or perinatal difficulties showed a focal or porencephalic enlargement of the lateral ventricle and periventricular T2 prolongation, which were identical to findings of periventricular venous infarction seen in preterm children. S...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000079370.28310.ea

    authors: Takanashi J,Barkovich AJ,Ferriero DM,Suzuki H,Kohno Y

    更新日期:2003-08-26 00:00:00

  • Familial band heterotopias simulating tuberous sclerosis.

    abstract::We report the clinical and neuroimaging findings of a mother and daughter with seizure disorders and band heterotopias seen on magnetic resonance imaging studies. These clinicoradiologic findings simulate those for a diagnosis of tuberous sclerosis complex. Clinicians should be aware of this migrational anomaly and it...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.7.1424

    authors: DiMario FJ Jr,Cobb RJ,Ramsby GR,Leicher C

    更新日期:1993-07-01 00:00:00

  • Prevalence and correlates of periodic limb movements in OSA and the effect of CPAP therapy.

    abstract:OBJECTIVE:We sought to assess the prevalence, correlates, and consequences of periodic limb movements of sleep (PLMS) in persons with obstructive sleep apnea (OSA) and the effect (worsening or improvement) of continuous positive airway pressure (CPAP) therapy on PLMS in a large prospective multicenter randomized contro...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008844

    authors: Budhiraja R,Javaheri S,Pavlova MK,Epstein LJ,Omobomi O,Quan SF

    更新日期:2020-04-28 00:00:00

  • Diagnostic value of myotactic reflexes in axonal and demyelinating polyneuropathy.

    abstract::In 11 patients with chronic inflammatory demyelinating polyneuropathy (CIDP) and 11 patients with chronic idiopathic axonal polyneuropathy (CIAP), absent myotatic reflexes were significantly associated more often with CIDP than with CIAP, an absent biceps-reflex having the highest sensitivity and specificity for the d...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.7.1573

    authors: van Dijk GW,Wokke JH,Notermans NC,van Gijn J,Franssen H

    更新日期:1999-10-22 00:00:00

  • Caregivers' preferences for the treatment of patients with Alzheimer's disease.

    abstract:OBJECTIVES:To learn caregivers' preferences for the treatment of AD with a disease-slowing therapy, and to identify relationships between these preferences and the characteristics of caregivers and patients. METHODS:A structured interview with 40 caregivers of patients with AD. Preferences were measured for an AD-slow...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.55.7.1008

    authors: Karlawish JH,Klocinski JL,Merz J,Clark CM,Asch DA

    更新日期:2000-10-10 00:00:00

  • Alexander disease: ventricular garlands and abnormalities of the medulla and spinal cord.

    abstract:BACKGROUND:Alexander disease is most commonly associated with macrocephaly and, on MRI, a leukoencephalopathy with frontal preponderance. The disease is caused by mutation of the GFAP gene. Clinical and MRI phenotypic variation have been increasingly recognized. METHODS:The authors studied seven patients with Alexande...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000198770.80743.37

    authors: van der Knaap MS,Ramesh V,Schiffmann R,Blaser S,Kyllerman M,Gholkar A,Ellison DW,van der Voorn JP,van Dooren SJ,Jakobs C,Barkhof F,Salomons GS

    更新日期:2006-02-28 00:00:00

  • Regional and progressive thinning of the cortical ribbon in Huntington's disease.

    abstract:BACKGROUND:Huntington's disease (HD) is a fatal and progressive neurodegenerative disease that is accompanied by involuntary movements, cognitive dysfunction, and psychiatric symptoms. Although progressive striatal degeneration is known to occur, little is known about how the disease affects the cortex, including which...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.5.695

    authors: Rosas HD,Liu AK,Hersch S,Glessner M,Ferrante RJ,Salat DH,van der Kouwe A,Jenkins BG,Dale AM,Fischl B

    更新日期:2002-03-12 00:00:00

  • Mapping of the gene for X-linked dominant Charcot-Marie-Tooth neuropathy.

    abstract::We performed a clinical study and linkage analysis on 278 subjects (66 affected) belonging to eight families with X-linked dominant Charcot-Marie-Tooth (CMT) neuropathy. This form affects 11.8% of CMT patients in Iowa. Motor nerve conduction velocities (MNCVs) were significantly slowed consistent with type 1 CMT. Fift...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.4.903

    authors: Ionasescu VV,Trofatter J,Haines JL,Ionasescu R,Searby C

    更新日期:1992-04-01 00:00:00

  • Nerve regeneration patterns after acute ischemic injury.

    abstract::We performed morphologic studies on regeneration of the cat's hind limb nerves, following simultaneous ligation of the aorta and right femoral artery. There were 2 regeneration patterns depending on the extent of ischemic necrosis. When nerve infarcts were limited only to intrafascicular regions, there was no basic ch...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.7.932

    authors: Korthals JK,Gieron MA,Wisniewski HM

    更新日期:1989-07-01 00:00:00

  • Autosomal-recessive juvenile parkinsonism in a Jewish Yemenite kindred: mutation of Parkin gene.

    abstract::We report a Jewish family of Yemenite origin in which three brothers born from a consanguineous marriage had juvenile parkinsonism. The DNA samples from three affected brothers and one healthy brother were analyzed for the linkage to markers covering the autosomal-recessive juvenile parkinsonism (AR-JP) locus. A perfe...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.7.1602

    authors: Nisipeanu P,Inzelberg R,Blumen SC,Carasso RL,Hattori N,Matsumine H,Mizuno Y

    更新日期:1999-10-22 00:00:00

  • Multicenter validation of a bedside antisaccade task as a measure of executive function.

    abstract:OBJECTIVE:To create and validate a simple, standardized version of the antisaccade (AS) task that requires no specialized equipment for use as a measure of executive function in multicenter clinical studies. METHODS:The bedside AS (BAS) task consisted of 40 pseudorandomized AS trials presented on a laptop computer. BA...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e318258f785

    authors: Hellmuth J,Mirsky J,Heuer HW,Matlin A,Jafari A,Garbutt S,Widmeyer M,Berhel A,Sinha L,Miller BL,Kramer JH,Boxer AL

    更新日期:2012-06-05 00:00:00

  • TNF-alpha expression in painful and nonpainful neuropathies.

    abstract:OBJECTIVE:To determine whether the cytokine tumor necrosis factor alpha (TNF-alpha) acts as a pain mediator in neuropathic pain in humans. BACKGROUND:In animal models, inflammatory cytokines such as TNF-alpha have been shown to facilitate neuropathic pain. METHODS:The expression of TNF-alpha was analyzed immunohistoc...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.56.10.1371

    authors: Empl M,Renaud S,Erne B,Fuhr P,Straube A,Schaeren-Wiemers N,Steck AJ

    更新日期:2001-05-22 00:00:00

  • Altered pharmacokinetics of L-dopa metabolism in rat striatum deprived of dopaminergic innervation.

    abstract::Rats with unilateral lesions of the substantia nigra were treated with L-dopa 25 mg/kg subcutaneously 30 minutes after treatment with carbidopa 25 mg/kg intraperitoneally. In the ipsilateral striatum, dopamine levels achieved a peak of 1.57 +/- 0.63 micrograms/g (control 0.19 +/- 0.05 micrograms/g) at 20 minutes and d...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.8.1105

    authors: Spencer SE,Wooten GF

    更新日期:1984-08-01 00:00:00

  • Myasthenia gravis with features of the myasthenic syndrome. An investigation with electrophysiologic methods including single-fiber electromyography.

    abstract::A 47-year-old woman had myasthenia gravis with only moderate weakness and a consistently poor response to anticholinesterase medication. She was investigated with routine electrophysiologic studies and single-fiber electromyography. The studies showed a limited effect of anticholinesterase medication. There was a decr...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.25.1.80

    authors: Schwartz MS,Stålberg E

    更新日期:1975-01-01 00:00:00

  • Treatment of Rasmussen's syndrome with ganciclovir.

    abstract::Since cytomegalovirus (CMV) has been implicated in the pathogenesis of Rasmussen's syndrome, we treated four patients with ganciclovir, a potent anti-CMV drug. A 7-year-old girl with seizures escalating to 60/day over 3 months despite triple antiepileptic drug therapy became seizure-free 5 days after initiation of tre...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.47.4.925

    authors: McLachlan RS,Levin S,Blume WT

    更新日期:1996-10-01 00:00:00

  • Role of cortisol in mood and memory in patients with intractable temporal lobe epilepsy.

    abstract:OBJECTIVE:This study prospectively examined the relationships among late night salivary cortisol (NSC) levels and depressive symptoms, memory performance, and hippocampal volumes in patients with medically intractable temporal lobe epilepsy (TLE) and the potential mediating effects of cortisol in the relationships betw...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31824e8efb

    authors: Busch RM,Frazier T,Chapin JS,Hamrahian AH,Diehl B,Alexopoulos A,Unnwongse K,Naugle RI,Kubu CS,Tesar GE,Najm IM

    更新日期:2012-04-03 00:00:00

  • Predicting developmental outcomes in preterm infants: A simple white matter injury imaging rule.

    abstract:OBJECTIVE:To develop a simple imaging rule to predict neurodevelopmental outcomes at 4.5 years in a cohort of preterm neonates with white matter injury (WMI) based on lesion location and examine whether clinical variables enhance prediction. METHODS:Sixty-eight preterm neonates born 24-32 weeks' gestation (median 27.7...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008172

    authors: Cayam-Rand D,Guo T,Grunau RE,Benavente-Fernández I,Synnes A,Chau V,Branson H,Latal B,McQuillen P,Miller SP

    更新日期:2019-09-24 00:00:00

  • Cerebrospinal fluid creatine kinase BB isoenzyme activity and neurologic prognosis after cardiac arrest.

    abstract:OBJECTIVE:To assess the relationship between CSF creatine kinase BB isoenzyme activity (CSF CKBB) and neurologic outcome after cardiac arrest in clinical practice. BACKGROUND:CSF CKBB reflects the extent of brain damage following cardiac arrest. METHODS:To help with prognosis, treating physicians ordered CSF CKBB tes...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.48.2.352

    authors: Tirschwell DL,Longstreth WT Jr,Rauch-Matthews ME,Chandler WL,Rothstein T,Wray L,Eng LJ,Fine J,Copass MK

    更新日期:1997-02-01 00:00:00

  • Neurophysiologic analysis of neuromuscular symptoms in UK Gulf War veterans: a controlled study.

    abstract:BACKGROUND:UK veterans who were deployed to the Gulf in 1990 to 1991 reported higher prevalence of neuromuscular symptoms. OBJECTIVE:To investigate whether these Gulf War-related symptoms were associated with objective evidence of neuromuscular dysfunction. METHODS:Forty-nine Gulf War veterans with more than four neu...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/01.wnl.0000032755.27372.fc

    authors: Sharief MK,Priddin J,Delamont RS,Unwin C,Rose MR,David A,Wessely S

    更新日期:2002-11-26 00:00:00

  • 'Crescendo' transient ischemic attacks: clinical and angiographic correlations.

    abstract::Forty-seven consecutive patients presenting acutely with repetitive symptoms indicative of anterior circulation ischemia ("crescendo" transient ischemic attacks) were evaluated to identify clinical features that might reliably predict the presence of significant stenosis, ulceration, or both in the presumably symptoma...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.2.198

    authors: Rothrock JF,Lyden PD,Yee J,Wiederholt WC

    更新日期:1988-02-01 00:00:00

  • Current treatment pathways in ALS: a European perspective.

    abstract::This article presents the findings relating to the European subgroup of 91 patients in an international survey of the current diagnosis and treatment of patients with amyotrophic lateral sclerosis (ALS). The mean time between first symptoms and first consultation with a physician was 4.9 months, and mean delay in seei...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:

    authors: Dengler R

    更新日期:1999-01-01 00:00:00

  • Depression of motor cortex excitability by low-frequency transcranial magnetic stimulation.

    abstract::We studied the effects of low-frequency transcranial magnetic stimulation (TMS) on motor cortex excitability in humans. TMS at 0.1 Hz for 1 hour did not change cortical excitability. Stimulation at 0.9 Hz for 15 minutes (810 pulses), similar to the parameters used to induce long-term depression (LTD) in cortical slice...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.48.5.1398

    authors: Chen R,Classen J,Gerloff C,Celnik P,Wassermann EM,Hallett M,Cohen LG

    更新日期:1997-05-01 00:00:00

  • Inflammatory trigeminal sensory neuropathy mimicking trigeminal neurinoma.

    abstract::Idiopathic trigeminal sensory neuropathy is a benign disorder. We report two patients with transient MRI abnormalities, suggesting transient inflammation of the trigeminal nerve caused temporary facial sensory symptoms. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.46.5.1455

    authors: Rorick MB,Chandar K,Colombi BJ

    更新日期:1996-05-01 00:00:00

  • Oral sumatriptan for the long-term treatment of migraine: clinical findings.

    abstract::This double-blind, placebo-controlled, crossover study of the acute treatment of migraine investigated the efficacy and tolerability of oral sumatriptan 100 mg (Imitrex) administered for up to nine attacks compared with placebo administered for up to three attacks. Patients were randomized to receive oral sumatriptan ...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Rederich G,Rapoport A,Cutler N,Hazelrigg R,Jamerson B

    更新日期:1995-08-01 00:00:00

  • Barbiturate attenuation of the clinical course and pathologic lesions in a primate stroke model.

    abstract::To evaluate the potential for clinical application, the reputed protective action of barbiturates in cerebral ischemia was tested in a controlled study after segmental middle cerebral artery occlusion in primates. Surviving treated animals promptly recovered consciousness, locomotion, and feeding behavior despite pers...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.25.9.870

    authors: Moseley JI,Laurent JP,Molinari GF

    更新日期:1975-09-01 00:00:00

  • Randomized, double-blind trial of glial cell line-derived neurotrophic factor (GDNF) in PD.

    abstract:OBJECTIVE:To assess the safety, tolerability, and biological activity of glial cell line-derived neurotrophic factor (GDNF) administered by an implanted intracerebroventricular (ICV) catheter and access port in advanced PD. BACKGROUND:GDNF is a peptide that promotes survival of dopamine neurons. It improved 6-OHDA- or...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1212/wnl.60.1.69

    authors: Nutt JG,Burchiel KJ,Comella CL,Jankovic J,Lang AE,Laws ER Jr,Lozano AM,Penn RD,Simpson RK Jr,Stacy M,Wooten GF,ICV GDNF Study Group. Implanted intracerebroventricular. Glial cell line-derived neurotrophic factor.

    更新日期:2003-01-14 00:00:00