Cisternography ppt to pdf

Cerebrospinal fluid csf leaks occur when the normal separation of the subarachnoid space is disrupted. Highly accurate in localising the site and extent of csf fistula noninvasive, no contrast required direct nasal endoscopyvisualizaton of. Nuclear medicine slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Mri cisternography with gadoliniumcontaining contrast.

Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. By injecting a small amount of radioactivity into the spinal fluid, the flow of the spinal fluid from the spine into the brain can be evaluated. This free online jpg to pdf converter allows to combine multiple images into a single pdf document. Etiology and treatment are straightforward in those settings, since a site of dural disruption is known.

Nondiagnostic mri studies of the spine or skull base poor correlation of physical findings with mri studies. Wastage of water wasting water has become a significant environmental problem, both at consumer and industrial levels. C1c2 cryptic cerebrospinal fluid leak directly identified. Cisternogram for csf leak continued page 3 of 3 will decay to 76% decay factor at 24 hrs 2. To present our initial experience with mr cisternography, an application of fast spinecho mr with fat suppression, and compare it with routine mr cranial studies in the evaluation of the subarachnoid cisterns and their contents. Computed tomography ct cisternography is an imaging technique used to diagnose csf rhinorrhea or csf otorrhea csf leaks, as ct allows the assessment of the bones of the base of skull. Cerebrospinal fluid csf leakage is known to cause orthostatic headache.

Cleveland clinic is a nonprofit academic medical center. Introduction research has been done to determine the effects of aging on the brain and cognitive function. Ct myelography with watersoluble contrast remains the most sensitive and specific test for. Dualenergy ct cisternography in the evaluation of csf leaks. Current approach to cerebrospinal fluid rhinorrhea. Hydrocephalus is not a single clinical entity but a complex pathophysiology with disturbed cerebrospinal fluid csf circulation. In order to determine the position of the leak a contrast material is injected into the subarachnoid space via a lumbar approach. Neuroimaging ct or mri t2 or flair or csf evidence of nontraumatic subarachnoid hemorrhage with or without other clinical signs c.

Images are obtained in various orientations and often with the patient in various positions before and after a liquid which shows up with ct contrast is instilled into the spinal fluid. Cisternogram imaging glossary patients ur medicine. May 10, 2010 nuclear medicine slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Guiberteau md, in essentials of nuclear medicine imaging sixth edition, 2012. Uses of imaging in nph therapeutics guide lp or lumbar drain placement confirms correct shunt placement, setting and shunt integrity. Cisternography and ventriculography gadopentate dimeglumine. Caring of people suffering with dementia authorstream. Intrasacral meningocele is an anomaly caused by an abnormal prolongation of the meninges in the sacral spinal canal. Normal pressure hydrocephalus nph is a syndrome characterized by the triad of gait disturbance, mental deterioration and urinary incontinence, associated with ventriculomegaly and. Click create pdf xps document, then click create pdf xps. The isotope cisternography icg became less useful because of low accuracy and complications. Cystic or cystlike malformations of the posterior fossa represent a spectrum of disorders, including the dandywalker malformation, vermiancerebellar hypoplasia, mega cisterna magna, and arachnoi.

We evaluated the use of screening noncontrast highresolution ct in identifying the presence and site of csf rhinorrhea and otorrhea and compared it with contrastenhanced ct cisternography and radionuclide. Displacement of the facial nerve course by vestibular. The patient was a 66yearold woman with a medical history of right csf otorrhea status post repair via craniotomy. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. Conversely, more recent studies have indicated that radionuclide cisternography is an unreliable predictor, showing many falsepositives and failure to demonstrate response to vp shunting 2326. A relatively high complication rate of up to 31% has been reported in radionuclide cisternography studies. Mri cisternography with gadoliniumcontaining contrast medium. Spontaneous intracranial hypotension diagnosis and. We evaluated the use of screening noncontrast highresolution ct in identifying the presence and site of csf rhinorrhea and otorrhea and compared it with contrastenhanced ct cisternography. Vesicoureteral reflux for infants and children refer also to the acrspr practice guideline for the performance of voiding cystourethrography in children. Save powerpoint presentations as pdf files office support. Spontaneous intracranial hypotension diagnosis and management. Less frequently, the site of csf leak can be identified as a zone of parathecal activity 7,9,27,31. The most common sites of csf fistulas are in the region of the cribriform plate and.

Computed tomography ct cisternography is an imaging technique used to diagnose csf rhinorrhoea or csf otorrhoea csf leaks, as ct allows the. Besides jpgjpeg, this tool supports conversion of png, bmp, gif, and tiff images. Our purpose was to evaluate the utility of intrathecal gadopentetate dimeglumine enhanced magnetic resonance cisternography gdmrc. Optional to select a video frame to use as a poster, drag the slider to the frame and click set poster image from. Cisternograms with pledgets can be complex to schedule because it requires coordination between the patients referring physician, the interventional radiology division and the s.

Evaluation of highresolution ct and mr cisternography in the. Headache resolves within 7 days of sealing the csf leak. Radionuclide cisternography is frequently used to substantiate the presence of a csf leak from the nose or ear or to localize more precisely the site of a leak. Traumatic csf leaks, which include both accidental trauma and iatrogenic postsurgical trauma, are the most common.

Biopsy biopsy of a subcutaneous nodule or muscle lesion. The csf protein level can be normal or significantly elevated. Computed tomography ct cisternography is an imaging technique used to diagnose csf rhinorrhea or csf otorrhea csf leaks, as ct allows the. Imaging ct cisternography currently the optimal imaging modality. Radionuclide cisternography in spontaneous intracranial. Recently, rice determined that isoview itedo software ct cisternography is the most definitive test to identify a site of active leakage. Aug 03, 2017 ct cysternography ct cisternography is reserved for rare refractory cases in which mri is not diagnostic or is contraindicated. Cisternography definition of cisternography by medical.

Ct cisternography has been considered one of the most reliable techniques in csf fistula detection. Ct cisternography dr derek smith and dr umamaheswara reddy v et al. A cisternogram is an examination of the spinal fluid flow that surrounds the spinal cord. Mr angiography occlusion of intracranial artery in subarachnoid neurocysticercosis 55. Ct cisternogram university of florida department of radiology. Radionuclide cisternography and contrastenhanced ct cisternography techniques require injections into the intrathecal space, most often via lumbar puncture.

In order to determine the position of the leak a contrast material is injected into the. Neuroimaging in normal pressure hydrocephalus benito pereira damasceno1 abstract. However, some investigators have suggested that fluorescein lumbar puncture with ct should supersede ct cisternography 4. Cisternography with intrathecal gadolinium is defined as the magnetic resonance imaging mri of the cerebrospinal system and associated structures after intrathecal administration of contrast material into the subarachnoid space. Procedural sedation and analgesia for childrenthe use of sedative, analgesic, or dissociative drugs to relieve anxiety and pain associated with diagnostic and therapeutic proceduresis now widely practised by a diverse group of specialists outside the operating theatre. This is large scale drainage where the objective is to drain surplus water from a large area by such means as excavating large open drains, erecting dykes and levees and pumping.

A lymphocytic pleocytosis of up to 50 cellsmm 3 is common. Results of isotope cisternography in 175 patients with a. Water resources engineering civil engineering engc 6305. If you continue browsing the site, you agree to the use of cookies on this website. We present a case of orthostatic headache, where the patient was suspected to have sih and was subjected to radionuclide cisternography rnc using 99m technetium. The causes of csf leaks have been grouped in various fashions, with the most prevalent grouping being traumatic, nontraumatic, and spontaneous.

Pdf converter is a online webbased document to pdf converter software. Pdf cerebrospinal fluid leaks pose a serious threat to patients as they represent an unchecked communication between the subarachnoid. Although intrathecal ct cisternography with watersoluble iodinated contrast medium has been used. Abstract the brainstem conveys sensory and motor inputs between the spinal cord and the brain, and contains nuclei of the cranial nerves. The normal human brain weight approximately 50 to 1500 gms and decline approximately 7% to 8% in weight as one ages. The extraspinal radioactivity was visible after the patient was supine for several hours and disappeared after a short time of standing, providing. Headache develops simultaneously with hemorrhage d. Winner of the standing ovation award for best powerpoint templates from presentations magazine. Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. Pdf dualenergy ct cisternography in the evaluation of csf leaks. People can view the slides even if they dont have powerpoint, but they cant make changes to it. Twenty four patients with clinically suspected csf rhinorrhoea were examined for. Current approach to cerebrospinal fluid rhinorrhea diagnosis.

Chart and diagram slides for powerpoint beautifully designed chart and diagram s for powerpoint with visually stunning graphics and animation effects. Intracranial hypotension caused by traumatic intrasacral. Nondiagnostic mri studies of the spine or skull base. For the remainder of the cases, in which tumor diameter exceeded 20 mm, the facial nerve could not be identified on mr cisternography table 2. Ct cisternography is diagnostic modality for diagnosing occult site of csf leak, it is performed after injecting contrast into thecal sac, and the patient is placed in a trendelenburg position to opacify the basal cisterns, followed by ct imaging thinsection coronal and axial ct images in both prone and supine positions immediately after administration of contrast material. Used for selective differential isolation of aeromonous hydrophila from clinical specimens. Mrc showed csf leakage in 14 patients with rhinorrhoea at the time of the examination. Although the terms hypotension, low csf pressure and low csf volume are often used interchangeably, the syn. Choose a multimedia file from the menu, or click browse to locate and select the file. When you save presentation as a pdf file it freezes the formatting and layout. Sumaily i 2017 current approach to cerebrospinal fluid rhinorrhea diagnosis and management.

Any information contained in this pdf file is automatically generated from digital material. Mr cisternography 3d evaluation is done using the ciss technique with 0. It revealed two cerebrospinal fluid leaks from the cervicothoracic junction bilaterally and the left side of the upper lumbar area. Demonstration of the organism is diagnostic of cysticercosis. Radionuclide cisternography is frequently used to substantiate the presence of.

Results of isotope cisternography the radiation risk and invasiveness. Ct, contrastenhanced ct cisternography, and radionuclide cisternography, and, more recently, mr cisternography have been used in the diagnosis of csf leak. Ppt lumbar puncture powerpoint presentation free to. Convert and create pdf from various types of files like word doc, excel xls, powerpoint ppt.

Praharaj2 departments of 1neuroimaging and interventional radiology and 2neurosurgery, national institute of mental health and neurosciences, bangalore, india. Since ct images show bone detail well the test works well to identify. A cisternogram is performed to evaluate the cerebral spinal fluid csf of the spinal canal and the ventricles of the brain. Ct cisternogram pre procedure clinic visit none pre procedure imaging requirements ct maxface indications diagnostic csf leak surgical planning, especially in regard to the nerve roots radiation therapy planning evaluation of spinal or basal cisternal disease. Nov, 2003 our purpose was to evaluate the utility of intrathecal gadopentetate dimeglumine enhanced magnetic resonance cisternography gdmrc. The spinal canal extends from the lumbar spine lower back into the brain and is filled with spinal fluid. Because the patient requires a lumbar puncture to occur six hours before imaging can take place, the lumbar puncture should be. An epidural blood patch with 30ml of autologous blood was. Ct cisternography is a procedure used to identify subtle leaks of spinal fluid along the skull base.

In the publish as pdf or xps dialog box, choose a location to save the file to. Epidural blood patching was tried at the lumbar level l1l2 and showed only a. We developed a new quantitative interpretation technique of radioisotope cisternography ric for the diagnosis of spontaneous cerebrospinal fluid hypovolemia sch. Apr 30, 2015 normal pressure hydrocephalus nph is a syndrome characterized by gait disturbance, memory impairment and urinary incontinence. Hence, it has become important for individuals and businesses alike to find out ways to reduce the wastage of water and conserve it. Spontaneous intracranial hypotension sih is a cause of new persistent headache, which disappears on recumbence and reappears in sittingstanding position orthostatic headache. It is a technique that has been shown to be effective in selected cases of various disorders of the cerebrospinal system. Cisternography, using 30mbq indiumi 11 labelled dtpa disclosed a large extradural leak at l3, the appearance of isotope in the bladder at one hour and the normal passage of isotope to the basal cisterns but reduced passage of isotope over the convexities confirmingthediagnosis. Ric studies performed for suspected sch were evaluated. Our new crystalgraphics chart and diagram slides for powerpoint is a collection of over impressively designed datadriven chart and editable diagram s guaranteed to impress any audience. Evidence of csf leakage on myelography, ct myelography or cisternography. A new approach for simple radioisotope cisternography.

A csf leak can occur after trauma and it is often difficult to tell exactly where the location of the leakage is. Dualenergy ct cisternography in the evaluation of csf. Procedural sedation and analgesia in children the lancet. Cisternogram cisternograms are used to diagnosis csf cerebrospinal fluid leakage. Jpg to pdf convert jpg images to pdf documents online. Radionuclide cisternography was performed using 150 mbq 4 mci tc99m dtpa. Ppt lumbar puncture powerpoint presentation free to view. Typical symptoms of this anomaly are low back pain, bladder dysfunction, and. We present a case of a 56yearold man with a posterior thoracic csf leak demonstrated by tc99m diethylenetriaminepentaacetic acid dtpa cisternography. Csf pressure to evaluate the cerebral spinal fluid csf of the spinal canal and the ventricles of the brain. Aan 2012 neuroimaging of normal pressure hydrocephalus. Radiologic evaluation of csf leaks is a diagnostic challenge that often involves multiple imaging studies with the associated expense and patient discomfort.

Imaging anatomy of the cranial nerves ch apter 14 185 taste is detected by taste cells localized in taste buds on the tongue, palate, pharynx, epiglottis, and upper third of. Page 1 of 2 ct cisternogram pre procedure clinic visit none pre procedure imaging requirements ct maxface indications diagnostic csf leak surgical planning, especially in regard to the nerve roots radiation therapy planning evaluation of spinal or basal cisternal disease. Although the terms hypotension, low csf pressure and low csf volume are. It controls the sleepwake cycle and vital functions via. Spontaneous csf leakage occurs under several conditions, such as lumbar puncture, spinal surgery, and fracture of the spine. Spontaneous intracranial hypotension diagnosis and management introduction spontaneous intracranial hypotension sih produces a headache similar to a post lumbar puncture headache. The journal contains extensive coverage of the field of nuclear medicine, including pet, spect, and other molecular imaging studies, and related imaging studies. Because of cerebrospinal fluid csf leak, orthostatic headaches sometimes follow neuraxial blockade or diagnostic lumbar puncture. The methodology and clinical use of metrizamide amipaque computed tomography ct cisternography are described as applied in the cases of 22 children with morphologic and physiologic abnormalities affecting the cranial portion of the central nervous system. Computed tomography ct cisternography is an imaging technique used to diagnose csf rhinorrhea or csf otorrhea csf leaks, as ct allows the assessment of the bones of the base of skull procedure. To embed multimedia files into powerpoint documents, you need have pdfmaker installed. On the other hand, on mr cisternography, images considered to represent the facial nerve could be identified in only one case, the smallest.