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MR Myelography for Identification of Spinal CSF Leak in Spontaneous Intracranial Hypotension AJNR 35:2007-2012, Chazen, J.L.,et al, 2014 See this aricle in Pubmed Article Abstract Present data demonstrate a higher rate of leak detection with intrathecal gadolinium MR myelography when investigating CSF leaks in our cohort of patients with spontaneous intracranial hypotension. Although intrathecal gadolinium is an FDA off-label use, all patients tolerated the medication without evidence of complications. Our data suggest that intrathecal gadolinium MR myelography is a well-tolerated examination with significant benefit in the evaluation of CSF leak, particularly for patients with leak related to meningeal diverticula.

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