Precise anatomic localization of atraumatic sphenoethmoidal cerebrospinal fluid rhinorrhea by metrizamide CT cisternography

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  • 1 Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
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✓ Metrizamide computerized tomographic cisternography (MCTC) has proved 100% successful in documenting the precise anatomic location of the dural osseous defect in three patients with sphenoethmoidal rhinorrhea. In each patient, direct surgical approach to the site indicated by MCTC terminated the leakage in a single procedure. Clinical evaluation has disclosed no renewed leakage during a follow-up period from 6 to 18 months.

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Contributor Notes

Present address for Dr. Moran: Missouri Baptist Hospital, 3015 Ballas Road North, St. Louis, Missouri 63131.

Address reprint requests to: Thomas P. Naidich, M.D., The Children's Memorial Hospital, 2300 Children's Plaza, Chicago, Illinois 60614.
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