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Imaging recommendation · Neuro · Head & Neck

Suspected CSF leak (otorrhea, rhinorrhea, or spontaneous intracranial hypotension)

Recommended: CT Cisternography or MR Cisternography (heavily T2-weighted) is the preferred imaging study for suspected csf leak (otorrhea, rhinorrhea, or spontaneous intracranial hypotension). Beta-2 transferrin confirms CSF.

Recommended study

CT Cisternography or MR Cisternography (heavily T2-weighted)

CT IV contrast Preferred Neuro · Head & Neck Outpatient Reviewed

Beta-2 transferrin confirms CSF. MR cisternography non-invasive; CT for intermittent leaks.

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