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Fistula detection in cerebrospinal fluid leakage
  1. Marshall B. Allen, Jr.,
  2. Taher el Gammal,
  3. Menard Ihnen,
  4. Morgan A. Cowan
  1. Department of Surgery, Eugene Talmadge Memorial Hospital, U.S.A.
  2. Department of Radiology, Eugene Talmadge Memorial Hospital, U.S.A.
  3. The Department of Pathology, University Hospital, Medical College of Georgia, Augusta, Georgia 30902, U.S.A.


    In two cases of cerebrospinal fluid rhinorrhoea in which scinticisternography failed to identify the fistulae, the tracts were demonstrated by positive contrast ventriculography. It is postulated that the fistula communicated with the ventricles but was isolated from the subarachnoid space by adhesions (demonstrated at operation in one case). There was `high pressure rhinorrhoea' in one case. The rhinorrhoea ceased after insertion of ventriculoatrial shunt.

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    • 1 Presented in part at the IVthe European Congress of Neurological Surgeons, Prague, Czechoslovakia, 28 June 1971.

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