Cerebrospinal fluid leak8/3/2023 ![]() ![]() And they are available to answer all of your questions along the way. They make your CSF leak treatment journey easier by guiding you through it step by step. Our nurse coordinator becomes your one-stop shop for coordinating referrals, sharing appointment and procedure instructions, and communicating with your doctors. Nurse Coordinator to Help Navigate Your Care and around the world consult Duke for training on these subjects. Since 2006, Duke neuroradiologists have been national and international leaders in developing techniques to diagnose and treat spinal CSF leaks and in researching spontaneous intracranial hypotension. Our advanced training, experience, and large number of procedures contribute to our excellent results. One of the Few Centers That Treats CSF Leaksĭuke is one of the few centers in the country with the expertise to diagnose and treat CSF leaks that cause chronic headaches and other neurological symptoms. For this procedure, an interventional radiologist uses an imaging-guided, minimally invasive technique to navigate a small catheter to the fistula and seal it off using medical glue. A neurosurgeon can treat the leak by disconnecting the abnormal vein.Īnother option is embolization of the fistula. Sometimes a loss of cerebrospinal fluid occurs due to CSF draining too quickly into the venous system through an abnormal blood vessel connection called a fistula. If the leak is caused by the sharp edge of a bone spur rubbing against the dura, a spine surgeon can repair the leak and remove the spur causing the problem. This procedure is performed after you are given medication to help you relax and to reduce pain. If the precise location isn’t known, one or more patches may be placed. With CT fluoroscopic guidance, the blood and/or glue is injected adjacent to the tear or potential site of the leak. Your own blood or, in some cases, a type of surgical glue is used to create a patch that seals the leak. After your procedure, our team will contact you often to monitor your progress. Depending on the cause of the leak, one of these customized treatments may be recommended. ![]() When conservative treatments such as bed rest and hydration don’t relieve symptoms, a procedure is often required to repair a CSF leak. If you are experiencing these symptoms and have not found relief through standard medical treatments, consider evaluation for a spinal CSF leak.ĭuke neuroradiologists specialize in using high-resolution CT, MRI, and fluoroscopic imaging to diagnose and treat CSF leaks and other conditions that affect the brain, spine, head, and neck. ![]()
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