Abstract
The isotopic cisternography is a nuclear medicine study which examined the physiology of cerebrospinal fluid movement and travel throughout the subdural space, with which it is possible to detect spinal fistulas that are undiagnosed with other methods. These characteristics make it useful in diagnosing hypotension intracranial syndrome (HIS); a rare condition whose main etiology is a “idiopathic” fistula which can be found any location of the subdural space. In our Nuclear Medicine services we have followed patients with this disease and reported three cases in which we determined the level of the fistula with isotope cisternography, allowing direct medical management and follow up after this
References
Hsu Ch, Chen YW, Chuang YW, y Huang YF. Radionuclide Cisternography in Spontaneous Intracranial Hypotension: A Case Report and Literature Review. Ann Nucl Med Sci, 2004; 17:45-50.
Morioka T, Aoki T, Tomoda Y, Takahashi H, Kakeda S, Takeshita I, et al. Cerebrospinal fluid leakage in intracranial hypotension syndrome: usefulness of indirect findings in radionuclide cistenography for detection and treatment monitoring. Clin Nucl Med, 2008;33 (3):181-5. https://doi.org/10.1097/RLU.0b013e318162d955
Mitjavila M., Balsa M.A., Penín J. and Pey C. Cisternogammagrafía en el síndrome de hipotensión endocraneal espontánea. Rev Esp Med Nucl, 2004; 23:338-42. https://doi.org/10.1016/S0212-6982(04)72313-7
Takahashi M., et al. Detection of cerebrospinal fluid leakage in intracranial hypotension with radionuclide cisternography. Ann Nucl Med 2005; 19:339-343. https://doi.org/10.1007/BF02984630
Halaç M, et al. Is Early Bladder Activity in Radionuclide Cisternography an Indirect Sign of Spontaneous Intracranial Hypotension or Sequence of Lumbar Puncture? Clin Nucl Med 2007; 32:850-853. https://doi.org/10.1097/RLU.0b013e318156bb2d
Chung SJ, Kim JS, and Lee M. Syndrome of cerebral spinal fluid hypovolemia. Clinical and imaging features and outcome. Neurology 2000; 55(9):132-1327. https://doi.org/10.1212/WNL.55.9.1321
Joo Jeon T., Lee JD., Lee B., Kim D., and Sik Yoo H. Radionuclide Cisternography in Spontaneous Intracranial Hypotension with Simultaneous Leaks at the Cervicothoracic and Lumbar Levels. Clin Nucl Med 2001; 26:114-116. https://doi.org/10.1097/00003072-200102000-00004
Benamor M., Tainturier C., Graveleau Ph. and Pierot L. Radionuclide cisternography in spontaneous intracranial hypotension. Clin Nucl Med 1998; 23: 150-151. https://doi.org/10.1097/00003072-199803000-00003
Christoforidis G.A., et al- Spontaneous intracranial hypotension: report of four cases and review of the literature. Neuroradiology 1998; 40:636-643. https://doi.org/10.1007/s002340050655
Nakahara K, Iida H, Mitomi T, Ohsawa S, Utsuki S, Simizu S, y Fujii K. Dilation of spinal epidural veins caused by spontaneous intracranial hypotension. Case report. Neurol Med Chir 2005; 45: 404 - 406. https://doi.org/10.2176/nmc.45.404
Mokri B. Spontaneous intracranial hypotension. Curr pain headache rep 2001; 5: 284-29. https://doi.org/10.1007/s11916-001-0045-7
Chiapparini L., et al. Spinal radiological findings in nine patients with spontaneous intracranial hypotension. Neuroradiology 2002; 44:143-150. https://doi.org/10.1007/s002340100685
Spelle et al. Neuroimaging features of spontaneous intracranial hypotension. Neuroradiology 2001; 43:622-627. https://doi.org/10.1007/s002340000529
Yutaka O., Yukiharu S., Shinsuke K., Noboru S. and Hitoshi K. Spontaneous Intracranial Hypotension: Characteristic Findings of Radionuclide Cisternography Using In-111 DTPA. Clin Nucl Med 1999; 24(10): 823. https://doi.org/10.1097/00003072-199910000-00028
Grantham V., Blakley B. and Winn J. Technical Review and Considerations for a Cerebrospinal Fluid Leakage Study. J Nucl Med Technol 2006; 34:48-51