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

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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.

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Authors and Affiliations

  1. Department 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

    Eun Kyoung Choi, Jin Kyoung Oh, Ikdong Yoo & Yong-An Chung

  2. Department of Radiology, College of Medicine, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Republic of Korea

    Sonya Youngju Park

  3. Department of Otolaryngology-Head and Neck Surgery College of Medicine, Incheon St. Mary’s Hospital, The Catholic University of Korea, Incheon, Republic of Korea

    Dong-Hyun Kim

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  1. Eun Kyoung Choi
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  2. Jin Kyoung Oh
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  3. Sonya Youngju Park
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  4. Ikdong Yoo
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  5. Dong-Hyun Kim
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  6. Yong-An Chung
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Correspondence to Jin Kyoung Oh.

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Conflict of Interest

Eun Kyoung Choi, Jin Kyoung Oh, Sonya Youngju Park, Ikdong Yoo, Dong-Hyun Kim, and Yong-An Chung declare that they have no conflict of interest.

Ethical Statement

The study was approved by an institutional review board or equivalent and has been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. The institutional review board waived the need to obtain informed consent.

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The manuscript has not been published before or is not under consideration for publication anywhere else and has been approved by all co-authors.

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Choi, E.K., Oh, J.K., Park, S.Y. et al. Visual and Quantitative Analysis of Cisternography for the Detection of Cerebrospinal Fluid Leakage. Nucl Med Mol Imaging 51, 193–194 (2017). https://doi.org/10.1007/s13139-015-0389-2

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  • DOI: https://doi.org/10.1007/s13139-015-0389-2

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