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For 2 decades, spine MRI was considered a reliable and sensitive modality for detecting CSF leaks based on (1) its ability to detect high rates of epidural collections among selected small cohorts of patients with spontaneous intracranial hypotension (SIH)1 and (2) the observation that up to 91% of patients showing an epidural collection on traditional CT myelography also show epidural collections on spine MRI.2 Based on these and other similar reports suggesting high sensitivity, spine MRI has been used as part of the standard first-line evaluation of patients with suspected CSF leaks.
Footnotes
Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the editorial.
See page 318
- Received September 30, 2022.
- Accepted in final form October 21, 2022.
- © 2022 American Academy of Neurology
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