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  • Case CT Cysterna

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    This document describes a case study of a 22-year-old male patient presenting with cerebrospinal fluid leakage (CSF) following head trauma. Anatomy and etiology of CSF leaks are reviewed, with the majority being traumatic in nature. The patient underwent a lumbar puncture with intrathecal contrast injection followed by CT imaging in various positions. Imaging revealed a CSF leak location that would be addressed surgically, with endoscopic endonasal repair being a common approach. The case presentation aims to educate radiographers on evaluating CSF leaks using CT cysternography.

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    This document describes a case study of a 22-year-old male patient presenting with cerebrospinal fluid leakage (CSF) following head trauma. Anatomy and etiology of CSF leaks are reviewed, with the majority being traumatic in nature. The patient underwent a lumbar puncture with intrathecal contrast injection followed by CT imaging in various positions. Imaging revealed a CSF leak location that would be addressed surgically, with endoscopic endonasal repair being a common approach. The case presentation aims to educate radiographers on evaluating CSF leaks using CT cysternography.

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    16 views13 pages

    Case CT Cysterna

    Uploaded by

    rin
    This document describes a case study of a 22-year-old male patient presenting with cerebrospinal fluid leakage (CSF) following head trauma. Anatomy and etiology of CSF leaks are reviewed, with the majority being traumatic in nature. The patient underwent a lumbar puncture with intrathecal contrast injection followed by CT imaging in various positions. Imaging revealed a CSF leak location that would be addressed surgically, with endoscopic endonasal repair being a common approach. The case presentation aims to educate radiographers on evaluating CSF leaks using CT cysternography.

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    of 13

    Case 2

    Workshop for Radiografer Neuro Update January 2015


    by Arief Oesmanto Imaging System Application PT Philips Indonesia Commercial
    CT CYSTERNA

    BY
    Arief Oesmanto,Dipl.Rad,S.Si
    Application Specialist Imaging System
    Philips Indonesia Commercial

    Workshop for Radiografer Neuro Update January 2015


    by Arief Oesmanto Imaging System Application PT Philips Indonesia Commercial
    Case 2 : Cysterna CT

    Pasien : Tn. HG
    Umur : 22 th
    Klinis : Kebocoran CFS
    (Cerebrospinal Fluid Leaks)
    Cerebrospinal Fluid Rhinorrhea
    Riwayat : Trauma Capitis

    Workshop for Radiografer Neuro Update January 2015


    by Arief Oesmanto Imaging System Application PT Philips Indonesia Commercial
    Anatomy

    Workshop for Radiografer Neuro Update January 2015


    by Arief Oesmanto Imaging System Application PT Philips Indonesia Commercial
    Etiology
    Traumatic (±96%)
    Non-traumatic (±4%)

    Traumatic Non-traumatic

    1. Accidental 1. Normal intracranial pressure (±55%)


    (±80%): seen in ±2% • Congenital anomaly
    of head injuries • Focal atrophy
    • Cough/ strain
    • Osteitis / osteomyelitis
    2. Surgical (±20%)
    • Idiopathic
    • Endoscopic sinus surgery
    • Surgery for meningocele
    • Trans sphenoidal 2. High intracranial pressure (±45%)
    hypophysectomy  Tumor (±85%)
    • Acoustic neuroma surgery  Hydrocephalus (±15%)
    http://www.utmb.edu/otoref/grnds/CSF-leak-091120/CSF-leak-091120.pdf

    Workshop for Radiografer Neuro Update January 2015


    by Arief Oesmanto Imaging System Application PT Philips Indonesia Commercial
    Alat dan Bahan
    • Lumbal pungsi
    • Kontras Media

    Workshop for Radiografer Neuro Update January 2015


    by Arief Oesmanto Imaging System Application PT Philips Indonesia Commercial
    Prosedure
    • Lumbal fungsi
    • Aspirasi LCS
    • Injeksi kontras media 10 cc
    • Semi supine 3 jam
    • Head scan
    – Supine
    – Proune (if needed)

    Workshop for Radiografer Neuro Update January 2015


    by Arief Oesmanto Imaging System Application PT Philips Indonesia Commercial
    Coronal

    Workshop for Radiografer Neuro Update January 2015


    by Arief Oesmanto Imaging System Application PT Philips Indonesia Commercial
    Report

    Workshop for Radiografer Neuro Update January 2015


    by Arief Oesmanto Imaging System Application PT Philips Indonesia Commercial
    Surgical Repair

    • Transcranial–via craniotomy, recurrence 27%


    • Extracranial
    • Transnasal
    • Endoscopic Endonasal

    Workshop for Radiografer Neuro Update January 2015


    by Arief Oesmanto Imaging System Application PT Philips Indonesia Commercial
    Surgical Repair
    Ethmoid Roof Pedicle
    Repair
    Spenoid Repair Nasosepta Flap

    Workshop for Radiografer Neuro Update January 2015


    by Arief Oesmanto Imaging System Application PT Philips Indonesia Commercial
    Go to …………………ISP

    Workshop for Radiografer Neuro Update January 2015


    by Arief Oesmanto Imaging System Application PT Philips Indonesia Commercial
    Click :
    Directory/Neuro radiografer/TN.HG(CysternaCT1)

    Workshop for Radiografer Neuro Update January 2015


    by Arief Oesmanto Imaging System Application PT Philips Indonesia Commercial

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