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, DK Kim, Timothy J. Amrhein, Linda Gray, W.P. Dillon, Marcel Maya, Thien Huynh, Vinil Shah, Tomas Dobrocky, Eike I. Piechowiak, J. Levi Chazen, Michael D. Malinzak, Jessica L. Houk, Peter G. Kranz
Abstract
<h3>ABSTRACT</h3> <i>SUMMARY:</i> 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