Cisternografía con contraste intratecal para el manejo de las fístulas de LCR / Intrathecal gadolynium MRI cisternography in the management of CSF fistulae

ABSTRACT

Objective. To analyze the use of intrathecal gadolinium for the accomplishment of cisternography with MRI for diagnosis, location and therapeutic programming of the CSF fistulas. Description. Clinical histories were analyzed, the methodology, diagnoses and therapies of the patients dealt in our service with fistula of cerebrospinal fluid in included/understood period between June of the 2000 and March of the 2008. From 2007 the method of diagnosis employed, was the use of Cisternography with intrathecal gadolinium because it offers the best results for us. Conclusion. The present methodology, using the intrathecal, precocious Gadolinium injection in the presence of a fistula, it offers the precise images not only for diagnoses, but also for the precise site of location and the necessity or not, of surgery.