Abstract
Basically there are two different methods to perform MR myelography, with and without application of intrathecal gadolinium-based contrast agent. The myelographic effect of 3D T2w sequences was just mentioned above. The indication to apply intrathecal contrast agent is the detection of CSF leakage through the spinal dural sac in patients with spontaneous intracranial hypotension (SIH). Detection of dural leaks is important both in approving SIH and in determining the best treatment strategy. In contrast-enhanced (CE) MR myelography, hyperintense signal outside the intrathecal space in T1w sequences with spectral fat saturation (SPIR, fat sat) is usually considered as CSF leakage.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- CSF:
-
Cerebrospinal fluid
- FAT SAT:
-
Fat saturation
- GD:
-
Gadolinium-based
- MRI:
-
Contrast agent with diethylenetriaminepentacetate
- SIH:
-
Spontaneous intracranial hypotension
- SPAIR:
-
Spectral selection attenuated inversion recovery
- SPIR:
-
Spectral presaturation inversion recovery
- ΜRΙ:
-
Magnetic resonance imaging
Further Reading
Akbar JJ, Luetmer PH, Schwartz KM, Hunt CH, Diehn FE, Eckel LJ (2012) The role of MR myelography with intrathecal gadolinium in localization of spinal CSF leaks in patients with spontaneous intracranial hypotension. AJNR Am J Neuroradiol 33(3):535–540
Hattingen E, DuMesnil R, Pilatus U, Raabe A, Kahles T, Beck J (2009) Contrast-enhanced MR myelography in spontaneous intracranial hypotension: description of an artefact imitating CSF leakage. Eur Radiol 19(7):1799–1808
Tali ET, Ercan N, Krumina G, Rudwan M, Mironov A, Zeng QY, Jinkins JR (2002) Intrathecal gadolinium (gadopentetate dimeglumine) enhanced magnetic resonance myelography and cisternography: results of a multicenter study. Invest Radiol 37(3):152–159
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Hattingen, E., Beck, J. (2015). Contrast-Enhanced MR Myelography. In: Hattingen, E., Weidauer, S., Setzer, M., Klein, J., Vrionis, F. (eds) Diseases of the Spinal Cord. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54209-1_7
Download citation
DOI: https://doi.org/10.1007/978-3-642-54209-1_7
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-54208-4
Online ISBN: 978-3-642-54209-1
eBook Packages: MedicineMedicine (R0)