Summary
Head injurries are sometimes complicated by cerebrospinal fluid rhinorrhoea. The exact localisation of the fistula is indispensable in cases requiring surgery. This may be achieved by visualization of the fistula with radiopaque substance introduced via the lumbar route and brought into the cranial cavity. This method was successfully used in the case reported here.
Résumé
Les traumatismes crâniens se compliquent parfois de rhinorrhée céphalo-rachidienne. Il est indispensable de connaître la localisation exacte de la fistule dans les cas nécessitant une intervention chirurgicale. Ceci peut être réalisé par la mise en évidence de la fistule grâce à un produit radio-opaque introduit par voie lombaire et dirigé dans la cavité crânienne. Cette méthode a été utilisée avec succès dans le cas rapporté.
Zusammenfassung
Nach lumbaler Injektion von 3 ml Pantopaque wurde das Kontrastmittel unter Röntgenkontrolle in den Schädelinnenraum und zu der Region der vermuteten Liquor-Fistel geleitet. Es gelang ein eindeutiger Nachweis der Frakturstelle.
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Doron, Y., Simon, J. & Peyser, E. Positive contrast myeloencephalography for visualization of cerebrospinal fluid fistula. Neuroradiology 3, 228–230 (1972). https://doi.org/10.1007/BF00339958
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DOI: https://doi.org/10.1007/BF00339958