Modern methods of investigation CSF pathology

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Abstract

Modern MRI (Magnetic Resonance Imaging) programme support modification more and more often makes a radiologist to refuse the invasive techniques in favour of more safe methods like Magnetic Resonance Myelography, Magnetic Resonance Cisternography, combination of CT and MR-cisternography. To evaluate CSF flow and obtain quantitative characteristics of linear and regional CSF flow the method of phase-contrast MRI is used. Today these methods have become a routine practice and may be indicated for all patients with the corresponding CSF system pathology. The spectrum of diagnoses is rather large: all types of hydrocephalus, arachnoid cysts, midline tumours and tumors located in the CSF lumen, «empty» saddle, different types of CSF leakage, Arnold-Chiari malformations, anomalous development of the brain and brain ventricles, ventriculostoma (artificial and spontaneous), postoperative CSF collections convexital hygromas. Magnetic Resonance Myelography and Magnetic Resonance Cisternography can successfully replace the invasive methods of visualization of cerebral and spinal CSF spaces. Phase-contrast MRI has proved to be efficient in demonstrating open hydrocephalus and providing postoperative control in Arnold-Chiari malformations.

 

About the authors

N. V. Arutyunov

Burdenko Neurosurgery Institute, RAMS, Moscow

Author for correspondence.
Email: platonova@neurology.ru
Russian Federation

V. N. Kornienko

Burdenko Neurosurgery Institute, RAMS, Moscow

Email: platonova@neurology.ru
Russian Federation

L. N. Fadeeva

Burdenko Neurosurgery Institute, RAMS, Moscow

Email: platonova@neurology.ru
Russian Federation

F. R. Mamedov

Burdenko Neurosurgery Institute, RAMS, Moscow

Email: platonova@neurology.ru
Russian Federation

References

  1. Birchall D., Connelly D., Walker L. et al. Evaluation of magnetic resonance myelography in the investigation of cervical spondylotic radiculopathy. Br. J. Radiol. 2003; 76: 525–531.
  2. Ferrer P., Mart -Bonmat L., Molla E. еt al. MR-myelography as adjunct to the MR examination of the degenerative spine. MAGMA 2004; 16: 203–210.
  3. Miller G., Krauss W. Myelography: still the gold standard. AJNR 2003; 24: 298.
  4. Eberhardt K., Hollenbach H., Deimling M. et al. MR cisternography: a new method for diagnosis of CSF fistulae. Eur. Radiol. 1997; 7–9: 1485-1491.
  5. Aydin K., Guven K., Sencer S. et al. MRI cisternography with gadolinium-containing contrast medium: its role? Advantages and limitations in the investigation of rhinorrhea. Neuroradiol. 2004; 46: 75–80.
  6. Greitz D. Cerebrospinal fluid circulation and associated intracranial dynamics. A radiologic investigation using MR imaging and radionuclide cisternography. Acta Radiol. Suppl. 1993; 386: 1–23.
  7. Holodny A., Kornienko V., Aroutiunov N. et al. Aquedactal stenosis leading to herniation of the frontal horn of the lateral ventricle intj the frontal sinus. J. Comp. Assisted Tomogr. 1997; 21: 5: 837–839.
  8. Kornienko V., Aroutiunov N., Petraikin A. et al. FLAIR application with CSF spaces contrasting for diagnosis of rhinorhea in compare with CT. В материалах 17th Ann. Meeting Eur. Society 2000.
  9. Edelman R., Wedeen V., Davis K. et al. Multiphasic MR imaging: a new method for direct imaging of pulsatile CSF flow. Radiol. 1986; 161 (3): 779–783.
  10. Enzmann D., Pelc N. Normal flow patterns of intracranial and spinal cerebrospinal fluid defined with phase-contrast cine MR imaging. Radiol. 1991; 178 (2): 467–474.
  11. Enzmann D., Pelc N. Cerebrospinal fluid flow measured by phase-contrast cine MR. AJNR 1993; 14 (6): 1301–1310.
  12. Nitz W., Bradley W., Watanabe A. et al. Flow dynamics of cerebrospinal fluid: assessment with phase-contrast velocity MR imaging performed with retrospective cardiac gating. Radiol. 1992; 183: 2: 395–405.
  13. Lisanti C., Carlin C., Banks K. et al. Normal MRI appearance and motion-related phenomena of CSF. AJR 2007; 188: 716–725.
  14. Stoquart-El Sankari S., Lehmann P., Gondry-Jouet C. et al. Phase-Contrast MR Imaging Support for the Diagnosis of Aqueductal Stenosis. AJNR 2009; 30: 209–214.
  15. Stivaros S., Sinclair D., Bromiley P. Endoscopic Third Ventriculostomy: Predicting Outcome with Phase-Contrast MR Imaging. Radiol. 2009; 252: 25–832.
  16. Haughton V., Korosec F., Medov J. et al. Peak systolic and diastolic CSF velocity in the foramen magnum in adult patients with Ciari1 malformations and in normal control participants. Am. J. Neuroradiol. 2003; 24: 169–176.
  17. Haughton V., Iskandar B. Measuring CSF flow in Chiari 1 malfomations. The Neuroradiol. J. 2006; 19: 427–43

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Copyright (c) 2017 Arutyunov N.V., Kornienko V.N., Fadeeva L.N., Mamedov F.R.

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