雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

A case of spontaneous rhinorrhea detected by SPAMM-tagging method Eiichi KOBAYASHI 1 , Motoo KUBOTA 1 , Akira YAMAURA 1 , Yoshitada NAKANO 2 , Fuminori MORITA 2 1Department of Neurosurgery, Faculty of Medicine, University of Chiba 2Faculty of Radiology, University of Chiba Keyword: SPAMM-tagging method , cine MRI , rhinorrhea , CSF dynamics pp.765-769
Published Date 1996/8/10
DOI https://doi.org/10.11477/mf.1436901261
  • Abstract
  • Look Inside

This is the first report of rhinorrhea detected by spa-cial modulation of the magnetization (SPAMM)-tagging method.

A 54-year-old male was admitted to our hospital for treatment of right rhinorrhea which had continued for 2 months and a half. The CSF leakage was induced by specific head position and the volume was more than 50ml a day. Metrizamide CT cisternography revealed the contrast medium in the lateral extension of the right sphenoid sinus. MRI demonstrated liquorrhea with abnormal intensity of the sinus. 3D-CT revealed bony defects at the temporal base. Operation revealed herniated brain through the same bony defect of the temporal base into the extended sphenoid sinus. Post-operative diagnosis was Morley's rhinorrhea. The leak-age point was closed and patched with the femoral fascia.

Preoperative SPAMM-tagging image with cine MRI was useful to identify the responsible leakage point as a disorder of lattice tags. This method is a kind of flowmetry with MRI and is very effective because it can detect non-invasively slight CSF motion into the sinuses. It can also detect the direction and rough flow volume of rhinorrhea, so may also predict the risk of meningitis. The disadvantages were also discussed.


Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有