A Less Invasive, Less Expensive Treatment for Spinal CSF-Venous Fistulas

Spinal CSF-venous fistulas are one type of spinal leak and a cause of spontaneous intracranial hypotension (SIH). Patients with SIH represent a difficult diagnostic and therapeutic challenge requiring multiple complementary imaging modalities and disciplines. They are most commonly treated with open surgical ligation and have reportedly not responded well to percutaneous treatments. A team of neuroradiology and neurosurgery scientists set out to study treatment outcomes of CT-guided fibrin glue occlusion for patients with cerebrospinal fluid–venous fistulas (CVFs).

Mark Mamlouk, MD, neuroradiologist at the Kaiser Permanente Santa Clara Medical Center and volunteer assistant clinical professor at the UC San Francisco Department of Radiology and Biomedical Imaging was corresponding author. He was joined by Kaiser Permanente colleagues Peter Shen, MD (former UCSF…

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