This accuracy and precision can provide the best chances of sealing the spinal leak. Our team will determine the best imaging technique for each patient, being guided by evidence-based medicine.Īfter we identify the spinal CSF leak, we can perform targeted blood patches at the exact site of the spinal CSF leak, typically using the CT scanner for guidance. Compare doctors, read patient reviews and more. San Francisco, CA 94118 Get directions Laurel Village 3490 California St. We also can perform specialized myelograms to identify CSF venous fistulas. Find the best doctors for treating Cerebrospinal Fluid Leak in San Francisco. Get directions Mount Zion 1600 Divisadero St. These include various forms of CT myelography to diagnose fast or slow CSF leaks. It may also be damaged by a lumbar puncture, including a spinal tap, spinal anesthesia or. The dura can be injured or punctured during a head injury or a surgical procedure involving the sinuses, brain or spine. Our multidisciplinary team is trained in advanced imaging techniques to diagnose spinal CSF leaks. California Sinus Center provides advanced surgical treatment for sinus tumors and CSF leaks at our offices in San Francisco. A CSF leak is when the CSF escapes through a tear or hole in the dura, the outermost layer of the meninges, which surround the brain. As these are fistulas, they result in very fast CSF steal phenomenon. CSF-Venous fistula: This entity has recently been described and is an abnormal connection between a perineural diverticulum and a spinal vein.
These are spinal outpouchings that result in fast or slow CSF leaks when ruptured. Ruptured perineural diverticula (cysts).These usually occur in the thoracic spine and result in fast CSF leaks. Location: San Francisco, CA Scope of practice: Diagnosis, Treatment (Non-Invasive), Treatment (Percutaneous), Treatment (Surgical) Ages: 0+ Physicians: Vinil Shah, MD (Neuroradiology) William Dillon, MD (Neuroradiology) Maggie Waung (Headache Neurology) Leslie West (Neurology) Call or email Dr. Mechanical tears from sharp discs in the spine.There are 3 main causes of spontaneous spinal CSF leaks: Historically, this condition was thought to be rare, but the medical community now recognizes and better understands the condition. Clinical symptoms can vary but are often associated with positional headaches that are worse while upright and improve when lying down. The leaks can either be due to a prior medical procedure/surgery or they can be spontaneous, yielding the term spontaneous intracranial hypotension. Spinal CSF leaks stem from small holes in the outer layer of the spinal canal, which result in a loss of spinal fluid and low intracranial pressure. Our team will work with you to identify the correct diagnosis and treatment plan. Welcome to the Spinal Cerebrospinal Fluid (CSF) Leak Program at Kaiser Permanente in Northern California where we have an expert multidisciplinary team of physicians trained in seeing patients with spinal CSF leaks.
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