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Experiences with intrathecally enhanced computed tomography

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Summary

Computed tomographic cisternography (CTC) shows small normal and pathological structures in the extracerebral CSF spaces in an excellent way and is able to differentiate communicating from non-communicating CSF-containing cysts in congenital malformations and acquired lesions. The main value of the CTC is in the examination of CSF dynamics. A report is given about our experiences with 121 patients. The dynamic flow patterns are divided into eight groups. The results are discussed in detail with suggestions as to the treatment.

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References

  1. Asada, M., Tamaki, N., Matsumoto, M., Kimura, S., Fujii, S.: Computer analysis of periventricular lucency of the CT scan. Neuroradiology 16, 207–211 (1978)

    Google Scholar 

  2. Bank, W. O., Drayer, B. P., Black, F. O., Rosembaum, A. E.: Computed tomographic cisternography: reduction of diagnostic limitations in computed tomography through intrathecal enhancement. In: Computerized axial tomography, (ed. J. Bories), pp. 156–161. Berlin, Heidelberg, New York: Springer 1978

    Google Scholar 

  3. Briggs, R. C., Altemus, L. R., Leschey, W. H.: Synthesis of criteria for operability in normal-pressure hydrocephalus due to bilateral convexity block. J. Nucl. Med. 19, 1268–1269 (1978)

    Google Scholar 

  4. Brugger, G.: Der Normaldruckhydrozephalus. Wien. Med. Wschr. 129, 325–327 (1979)

    Google Scholar 

  5. Clark, R. G., Milhorat, T. H.: Experimental hydrocephalus. Part 3: Light microscopic findings in acute and subacute obstructive hydrocephalus in the monkey. J. Neurosurg. 32, 400–413 (1970)

    Google Scholar 

  6. Daly, D. D.: Genesis of abnormal activity. Handbook of electroencephalography and clinical neurophysiology, Vol. 14, pp. 5–13, (ed. A. Redmond). Amsterdam: Elsevier 1975

    Google Scholar 

  7. Deisenhammer, E., Gund, A., Hammer, B., Steinhäusl, H.: Unilateral ventricular reflux: case report. J. Nucl. Med. 16, 716–717 (1975)

    Google Scholar 

  8. Deisenhammer, E., Hammer, B.: in progress

  9. DiChiro, G.: Movement of the cerebrospinal fluid in human beings. Nature 204, 290–291 (1964)

    Google Scholar 

  10. DiChiro, G.: Diffenential diagnosis of hypodense white matter lesions. Int. Sympos. Computed Tomography, Las Vegas, April 16–20 (1979)

  11. Drayer, B. P., Rosenbaum, A. E., Reigel, D. B., Bank, W. O., Deeb, Z. L.: Metrizamide computed tomography cisternography: Pediatric applications. Radiology 124, 349–357 (1977)

    Google Scholar 

  12. Drayer, B. P., Rosenbaum, A. E.: Studies of the third circulation. Amipaque CT cisternography and ventriculography. J. Neurosurg. 48, 946–956 (1978)

    Google Scholar 

  13. Drayer, B. P., Rosenbaum, A. E.: Pediatric metrizamide cisternography: Cerebrospinal fluid circulation and hydrocephalus. Neurology 28, 71–77 (1978)

    Google Scholar 

  14. Drayer, B. P., Rosenbaum, A. E., Higman, H. B.: Cerebrospinal fluid imaging using serial metrizamide CT cisternography. Neuroradiology 13, 7–17 (1977)

    Google Scholar 

  15. Drayer, B. P., Rosenbaum, A. E.: Metrizamide brain penetrance. Acta Radiol. [Suppl.] (Stockh.) 355, 280–293 (1977)

    Google Scholar 

  16. du Boulay, G., O'Connel, J., Cuvrie, J., Bostick, Th., Verity, P.: Further investigation on pulsatile movements in the cerebrospinal fluid pathways. Acta Radiol. [Diagn.] (Stockh.) 13, 496–523 (1972)

    Google Scholar 

  17. du Boulay, G.: Computed tomography in normal and pathological physiology. 8th Congr. Eur. Soc. Neuroradiology, Strasbourg, Sept. 7–8 (1979)

  18. Enzman, D. R., Norman, D., Newton, Th. H.: Computer tomography in cisternography with metrizamide. Acta Radiol. [Suppl.] (Stockh.) 355, 294–298 (1977)

    Google Scholar 

  19. Fitz, C. R., Harwood-Nash, D. C., Chuand, S., Resjo, I. M.: Metrizamide ventriculography and computed tomography in infants and children. Neuroradiology 16, 6–9 (1978)

    Google Scholar 

  20. Gardner, W. J., Abdullah, A. F., Cormack, L. J.: The varying expressions of embryonal atresia of the fourth ventricle in adults. J. Neurosurg. 14, 591–605 (1957)

    Google Scholar 

  21. Golman, K., Wiik, I., Salvesen, S.: Absorption of a non-ionic contrast agent from cerebrospinal fluid to blood. Neuroradiology 18, 227–233 (1979)

    Google Scholar 

  22. Greitz, T., Hindmarsh, T.: Computerized tomography of intracranial CSF circulation using a water-soluble contrast medium. Acta Radiol. [Diagn.] (Stockh.) 15, 497–507 (1974)

    Google Scholar 

  23. Grepe, A., Greitz, T., Norlen, G.: Computer cisternography of extracerebral tumours using lumbar injection of water-soluble contrast medium. Acta Radiol. [Suppl.] (Stockh.) 346, 51–62 (1975)

    Google Scholar 

  24. Hammer, B.: Results of a double blind study of three contrast media and technique for lumbosacral radiculography. Neuroradiology 17, 45–50 (1978)

    Google Scholar 

  25. Hammer, B., Hohenauer, L.: Zur Diagnostik infratentorieller Mißbildungen beim Säugling. Paediatr. Paedol. (in press)

  26. Hammer, B., Lackner, W.: Iopamidol, a new non-ionic hydrosoluble contrast medium for neuroradiology. Neuroradiology 19, 119–121 (1980)

    Google Scholar 

  27. Hartmann, A.: Der Wert diagnostischer Untersuchungen beim kommunizierenden Hydrozephalus. Akt. Neurol. 5, 65–78 (1978)

    Google Scholar 

  28. Hindmarsh, T.: Elimination of water-soluble contrast media from the subarachnoid space. Acta Radiol. [Suppl.] (Stockh.) 346, 45–50 (1975)

    Google Scholar 

  29. Hindmarsh, T.: Computer cisternography for evaluation of CSF flow dynamics. Acta Radiol. [Suppl.] (Stockh.) 355, 269–279 (1977)

    Google Scholar 

  30. Hiratsuka, H., Fujiwara, F., Okada, K., Takasato, Y., Tsuyumu, M., Inaba, Y.: Modification of periventricular hypodensity in hydrocephalus with ventricular reflux in metrizamide CT cisternography. J. Comput. Assist. Tomogr. 3, 204–208 (1979)

    Google Scholar 

  31. Hiratsuka, H., Takasato, Y., Okada, K., Monma, S., Matsunaga, M., Inaba, Y.: Differentiation of subdural hematomas, cerebral atrophy and other allied diseases in infants by metrizamide CT cisternography. Int. Sympos. Computed Tomography, Las Vegas, April 16–20 (1979)

  32. Hoplins, L. N., Bakay, L., Kinkel, W. R., Grand, W.: Demonstration of transventricular CSF absorption by computerized tomography. Acta Neurochir. 39, 151–157 (1977)

    Google Scholar 

  33. Inaba, Y., Hiratsuka, H., Tsuyumu, M., Suganuma, Y., Okada, K., Fujiwara, F., Takasato, Y.: Diagnostic value of CT cisternography with intrathecal metrizamide enhancement, comparison with isotope cisternography. Neuroradiology 16, 214–215 (1978)

    Google Scholar 

  34. Kaada, B.: Transient EEG abnormalities following lumbar myelography with metrizamide. Acta Radiol. [Suppl.] (Stockh.) 335, 380–386 (1973)

    Google Scholar 

  35. Kingsley, D. P. F., Kendall, B. E.: The value of computed tomography in the evaluation of the enlarged head. Neuroradiology 15, 59–71 (1978)

    Google Scholar 

  36. Lee, B. C. P., Gomez, D. G., Potts, D. G., Pavese, A. M.: Passage of Amipaque (metrizamide) through the arachnoid granulations. Neuroradiology 17, 185–190 (1979)

    Google Scholar 

  37. Lundervold, A., Sortland, O.: EEG disturbances following myelography, cisternography and ventriculography with metrizamide. Acta Radiol. [Suppl.] (Stockh.) 355, 379–389 (1977)

    Google Scholar 

  38. Manelfe, C., Starlink-Jardim, D., Touibi, S., Bonafé, A., David, J.: Transsphenoidal encephalocele associated with agenesis of corpus callosum: value of metrizamide computed cisternography. J. Comput. Assist. Tomogr. 2, 359–361 (1978)

    Google Scholar 

  39. Messert, B., Wannamaker, B. B.: Reappraisal of the adult occult hydrocephalus syndrome. Neurology 24, 224–231 (1974)

    Google Scholar 

  40. Milhorat, T. H., Clark, R. G., Hammock, M. K., McGrath, P. P.: Structural, ultrastructural and permeability changes in the ependyma and surrounding brain favoring equilibration in progressive hydrocephalus. Arch. Neurol. 22, 397–401 (1970)

    Google Scholar 

  41. Mori, K., Kurata, T., Nakano, Y., Handa, H.: Periventricular lucency in hydrocephalus on computerized tomography. Surg. Neurol. 8, 337–340 (1977)

    Google Scholar 

  42. Moseley, I. F., Radue, E. W.: Factors influencing the development of periventricular lucencies in patients with raised intracranial pressure. Neuroradiology 17, 65–69 (1979)

    Google Scholar 

  43. Naidich, T. P., Epstein, F., Lin, J. P., Kricheff, I. I., Hochwald, G. H.: Evaluation of pediatric hydrocephalus by computed tomography. Radiology 119, 337–345 (1976)

    Google Scholar 

  44. Nerke, O.: Liquorzirkulationsstörungen. Pathophysiologie, Klinik, Diagnostik und Therapie. Fortschr. Neurol. Psychiat. 44, 462–488 (1976)

    Google Scholar 

  45. Oberson, R.: Anatomie et pathophysiologie neuroradiologique de la circulation du LCR. Role de foramen de Pacchioni. J. Neuroradiologie 5, 17–26 (1978)

    Google Scholar 

  46. Ostertag, C. B., Mundinger, F.: Diagnosis of normal-pressure hydrocephalus using CT with CSF enhancement. Neuroradiology 16, 216–219 (1978)

    Google Scholar 

  47. Palma, A., Kolberg, T.: Neue Aspekte der Liquordynamik beim Menschen durch sequentielle Kameraszintigraphie und Auswertung mit Digitalanalysator. 1. Teil: Methodik und physiologische Verhältnisse. Acta Neurochir. 36, 9–28 (1977)

    Google Scholar 

  48. Palma, A., Kolberg, T.: New aspects of cerebrospinal fluid dynamics investigated by sequential gamma camera cisternography with data evaluation by the digital multichannel analyzer. Part 2: Pathology of cerebrospinal fluid flow in the subarachnoid space of the brain convexity. Acta Neurochir. 38, 1–12 (1977)

    Google Scholar 

  49. Palma, A., Kolberg, T., Entzian, W., Palma, A., Wüst, R.: Part 3: Pathology of the ventricular reflux. Acta Neurochir. 43, 19–50 (1978)

    Google Scholar 

  50. Palma, A., Kolberg, T., Wüst, R., Entzian, W.: Part 4: Unifying criterion to the development of hydrocephalic syndrome. Its dynamic basis. Acta Neurochir. 45, 53–88 (1978)

    Google Scholar 

  51. Partain, C. L., Scatliffe, J. H., Staab, E. V., Wu, P. H.: Quantitative multiregional CSF kinetics using serial, metrizamide enhanced computed tomography. J. Comput. Assist. Tomogr. 2, 467–470 (1978)

    Google Scholar 

  52. Partain, C. L., Wu, P. H., Staab, E. V., Johnston, E. R.: A multiregional kinetics model for cerebrospinal fluid. Radiology 127, 705–711 (1978)

    Google Scholar 

  53. Pasquini, V., Bronzini, M., Gozzoli, E., Mancini, P., Menichelli, F., Salvolini, U.: Periventricular hypodensitiy in hydrocephalus. A clinico-radiological mathematical analysis using computed tomography. J. Comput. Assist. Tomogr. 1, 443–448 (1977)

    Google Scholar 

  54. Potts, G., Gomez, D. G., Abbott, G. F.: Possible causes of complications of myelography with water-soluble contrast medium. Acta Radiol. [Suppl.] (Stockh.) 355, 390–403 (1977)

    Google Scholar 

  55. Radue, E. W., Kendall, B. E.: Computer-Tomographie und Cisternographie beim normal pressure hydrocephalus. Akt. Neurol. 4, 217–227 (1977)

    Google Scholar 

  56. Roberson, G. H., Kleefield, J., Ellis, G., Taveras, J. M., Davis, K. R.: Metrizamide enhancement of cerebrospinal fluid for computer tomography. Acta Radiol. [Suppl.] (Stockh.) 355, 306–313 (1977)

    Google Scholar 

  57. Rosenbaum, A. E., Drayer, B. P.: CT cisternography with metrizamide. Acta Radiol., Suppl. 355, 323–337 (1977)

    Google Scholar 

  58. Rottenberg, D. A., Deck, M. D. F., Allen, J. C.: Metrizamide washout as a measure of CSF bulk flow. Neuroradiology 16, 203–206 (1978)

    Google Scholar 

  59. Sartor, K., Richert, S.: Konventionell-radiographische und computerassistierte Zisternographie der hinteren Schädelgrube mit Metrizamid. Fortschr. Röntgenstr. 130, 472–478 (1979)

    Google Scholar 

  60. Schossberger, P. F., Touya, J. J.: Dynamic cisternography in normal dogs and in human beings. Neurology 26, 254–260 (1976)

    Google Scholar 

  61. Sheldon, P., Molyneux, A.: Metrizamide cisternography and computed tomography for the investigation of pituitary lesions. Neuroradiology 17, 83–87 (1979)

    Google Scholar 

  62. Sortland, O.: Computed tomography combined with gas cisternography for the diagnosis of expanding lesions in the cerebellopontine angle. Neuroradiology 18, 19–22 (1979)

    Google Scholar 

  63. Strecken, E. P., Janes, A. E., Kelley, J. E. T., Merz, T.: Semiquantitative studies of transependymal movement in communicating hydrocephalus. Radiology 111, 341–346 (1974)

    Google Scholar 

  64. Takahashi, M., Arii, H., Tamakawa, Y.: Comparison of metrizamide CT cisternography with radionuclide cisternography in abnormal cerebrospinal fluid dynamics. Neuroradiology 16, 199–202 (1978)

    Google Scholar 

  65. Tamaki, N., Kanazawa, Y., Asada, M., Kusunoki, T., Matsumoto, S.: Dynamics of cerebrospinal fluid circulation evaluating by metrizamide CT cisternography. J. Comput. Assist. Tomogr. 3, 209–216 (1979)

    Google Scholar 

  66. Tamaki, N., Kanazawa, Y., Asada, M., Kusunoki, T., Matsumoto, S.: Comparison of cerebrospinal fluid dynamics studies by computed tomography (CT) and radioisotope (RI) cisternography. Neuroradiology 16, 193–198 (1978)

    Google Scholar 

  67. Wende, S.: personal communication.

  68. Yamada, F., Fukuda, S., Samejima, H., Kudo, T.: Significance of pathognomonic features of normal-pressure hydrocephalus on computerized tomography. Neuroradiology 16, 212–213 (1978)

    Google Scholar 

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  1. Department of Radiology, Wagner-Jauregg Hospital, Linz, Austria

    B. Hammer

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Hammer, B. Experiences with intrathecally enhanced computed tomography. Neuroradiology 19, 221–228 (1980). https://doi.org/10.1007/BF00347799

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