Endovascular Embolization Techniques for Cerebrospinal Fluid-Venous Fistula in the Treatment of Spontaneous Intracranial Hypotension

Radiol Clin North Am. 2024 Mar;62(2):345-354. doi: 10.1016/j.rcl.2023.10.006. Epub 2023 Nov 8.ABSTRACTCerebrospinal fluid-venous fistula (CVF) is an important cause of spontaneous intracranial hypotension (SIH), a condition characterized by low cerebrospinal fluid (CSF) volume and orthostatic headaches. The pathogenesis of CVF is thought to be direct connection of the spinal dura to one or more veins in the epidural space, allowing unregulated flow of CSF into the venous system. Herein, we provide a comprehensive review of the endovascular management of CVF in patients with SIH. We also focus on the various techniques and devices used in endovascular treatment, as well as the pathogenesis, diagnosis, and alternative treatment options of CVF.PMID:38272626 | DOI:10.1016/j.rcl.2023.10.006

Source: Radiologic Clinics of North America - January 25, 2024 Category: Radiology Authors: Atakan Orscelik Jeremy K Cutsforth-Gregory Ajay Madhavan Yigit Can Senol Hassan Kobeissi Gokce Belge Bilgin Cem Bilgin David F Kallmes Waleed Brinjikji Source Type: research