Nucl Med Mol Imaging.  2017 Jun;51(2):193-194. 10.1007/s13139-015-0389-2.

Visual and Quantitative Analysis of Cisternography for the Detection of Cerebrospinal Fluid Leakage

Affiliations
  • 1Department of Radiology, College of Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea, Dongsu-ro 56, Bupyung-gu, Incheon, Gyeonggi-do 404-834, Republic of Korea. jinkyoung.oh@gmail.com
  • 2Department of Radiology, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
  • 3Department of Otolaryngology-Head and Neck Surgery College of Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon, Republic of Korea.

Abstract

We herein present a case of a 29-year-old man with clear rhinorrhea, which persisted for 8 years following a myringotomy. After cotton pledgets were placed in several different regions of the nasal cavity, cisternography using Tc-99m DTPA was performed to measure the radioactivity of each pledget. Cisternography showed subtle uptake in the nasal cavity. However, intense uptake was detected in the pledget placed in the right eustachian tube orifice, where the pledget:serum count ratio was 10.3:1. The patient underwent duroplasty and cranioplasty, and the rhinorrhea resolved.

Keyword

Cerebrospinal fluid leak; Cerebrospinal fluid rhinorrhea; Radionuclide imaging; TechnetiumTc 99m pentetate

MeSH Terms

Adult
Cerebrospinal Fluid Leak*
Cerebrospinal Fluid Rhinorrhea
Cerebrospinal Fluid*
Eustachian Tube
Humans
Nasal Cavity
Pentetic Acid
Radioactivity
Radionuclide Imaging
Pentetic Acid
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