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MRI and Surgical Findings Refine Concepts of Type 2 Cerebrospinal Fluid Leaks in Spontaneous Intracranial Hypotension

Niklas Lützen, Jürgen Beck, Lalani Carlton Jones, Christian Fung, Theo Demerath, Alexander Rau, Charlotte Zander, Katharina Wolf, Florian Volz, Amir El Rahal, Horst Urbach

2025Radiology22 citationsDOI

Abstract

Type 2 spinal cerebrospinal fluid leaks in patients with spontaneous intracranial hypotension occur after lateral dural tears through which the arachnoid herniates, which is visible on MRI scans (ie, the “bud-on-branch” sign).

Topics & Concepts

MedicineCerebrospinal fluidIntracranial HypotensionCerebral Spinal FluidCerebrospinal fluid leakSpontaneous Intracranial HypotensionTearsMagnetic resonance imagingCerebrospinal fluid pressureSurgeryRadiologyAnesthesiaPathologyNeurosurgical Procedures and ComplicationsHead and Neck Surgical OncologyCerebrospinal fluid and hydrocephalus
MRI and Surgical Findings Refine Concepts of Type 2 Cerebrospinal Fluid Leaks in Spontaneous Intracranial Hypotension | Litcius