Table 4

Selection of myelographic technique based on spinal MRI findings

SLECLikely cause of leakPatient positionTechnique
PresentDiscogenic microspur
Lateral or dorsal dural tear
Depends on distribution of SLECCTM, DSM, UFCTM
AbsentCSF-venous fistulaLateral decubitusCTM, DSM
  • CSF, cerebrospinal fluid; CTM, CT myelography; DSM, digital subtraction myelography; SLEC, spinal longitudinal epidural collection; UFCTM, ultrafast CT myelography.