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<meta name="DC.Description" content="SUMMARY: Digital subtraction myelography is a valuable diagnostic technique to detect the exact location of CSF leaks in the spine to facilitate appropriate diagnosis and treatment of spontaneous spinal CSF leaks. Digital subtraction myelography is an excellent diagnostic tool for assessment of various types of CSF leaks, and lateral decubitus digital subtraction myelography is increasingly being used to diagnose CSF-venous fistulas. Lateral decubitus digital subtraction myelography differs from typical CT and fluoroscopy-guided myelograms in many ways, including equipment, supplies, and injection and image-acquisition techniques. Operators should be familiar with techniques, common pitfalls, and artifacts to improve diagnostic yield and prevent nondiagnostic examinations.

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&lt;p&gt;Digital subtraction myelography is a valuable diagnostic technique to detect the exact location of CSF leaks in the spine to facilitate appropriate diagnosis and treatment of spontaneous spinal CSF leaks. Digital subtraction myelography is an excellent diagnostic tool for assessment of various types of CSF leaks, and lateral decubitus digital subtraction myelography is increasingly being used to diagnose CSF-venous fistulas. Lateral decubitus digital subtraction myelography differs from typical CT and fluoroscopy-guided myelograms in many ways, including equipment, supplies, and injection and image-acquisition techniques. Operators should be familiar with techniques, common pitfalls, and artifacts to improve diagnostic yield and prevent nondiagnostic examinations.&lt;/p&gt;" />
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<meta name="twitter:title" content="Lateral Decubitus Digital Subtraction Myelography: Tips, Tricks, and Pitfalls" />
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<meta name="twitter:description" content="SUMMARY: Digital subtraction myelography is a valuable diagnostic technique to detect the exact location of CSF leaks in the spine to facilitate appropriate diagnosis and treatment of spontaneous spinal CSF leaks. Digital subtraction myelography is an excellent diagnostic tool for assessment of various types of CSF leaks, and lateral decubitus digital subtraction myelography is increasingly being used to diagnose CSF-venous fistulas. Lateral decubitus digital subtraction myelography differs from typical CT and fluoroscopy-guided myelograms in many ways, including equipment, supplies, and injection and image-acquisition techniques. Operators should be familiar with techniques, common pitfalls, and artifacts to improve diagnostic yield and prevent nondiagnostic examinations.

DSM
:   digital subtraction myelography
SIH
:   spontaneous intracranial hypotension
SSCSFL
:   spontaneous spinal CSF leak" />
<meta name="og-title" property="og:title" content="Lateral Decubitus Digital Subtraction Myelography: Tips, Tricks, and Pitfalls" />
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<meta name="og-description" property="og:description" content="SUMMARY: Digital subtraction myelography is a valuable diagnostic technique to detect the exact location of CSF leaks in the spine to facilitate appropriate diagnosis and treatment of spontaneous spinal CSF leaks. Digital subtraction myelography is an excellent diagnostic tool for assessment of various types of CSF leaks, and lateral decubitus digital subtraction myelography is increasingly being used to diagnose CSF-venous fistulas. Lateral decubitus digital subtraction myelography differs from typical CT and fluoroscopy-guided myelograms in many ways, including equipment, supplies, and injection and image-acquisition techniques. Operators should be familiar with techniques, common pitfalls, and artifacts to improve diagnostic yield and prevent nondiagnostic examinations.

DSM
:   digital subtraction myelography
SIH
:   spontaneous intracranial hypotension
SSCSFL
:   spontaneous spinal CSF leak" />
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    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0">D.K. Kim</span>, <span class="highwire-citation-author" data-delta="1">W. Brinjikji</span>, <span class="highwire-citation-author" data-delta="2">P.P. Morris</span>, <span class="highwire-citation-author" data-delta="3">F.E. Diehn</span>, <span class="highwire-citation-author" data-delta="4">V.T. Lehman</span>, <span class="highwire-citation-author" data-delta="5">G.B. Liebo</span>, <span class="highwire-citation-author" data-delta="6">J.M. Morris</span>, <span class="highwire-citation-author" data-delta="7">J.T. Verdoorn</span>, <span class="highwire-citation-author" data-delta="8">J.K. Cutsforth-Gregory</span>, <span class="highwire-citation-author" data-delta="9">R.I. Farb</span>, <span class="highwire-citation-author" data-delta="10">J.C Benson</span> and <span class="highwire-citation-author" data-delta="11">C.M. Carr</span></span></div>
  
    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">January 2020,  </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">41 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(1) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">21-28; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata">DOI: https://doi.org/10.3174/ajnr.A6368 </span></div>
  
  
  
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<div id="hw-article-author-popups-top-node-72446--62130526123" style="display: none;"><div class="author-tooltip-0"><div class="author-tooltip-name">D.K. Kim </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=D.K.%2BKim%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Kim%20D&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AD.K.%2BKim%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0003-3696-2474" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for D.K. Kim</a></li></ul></div><div class="author-tooltip-1"><div class="author-tooltip-name">W. Brinjikji </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=W.%2BBrinjikji%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Brinjikji%20W&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AW.%2BBrinjikji%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0001-5271-5524" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for W. Brinjikji</a></li></ul></div><div class="author-tooltip-2"><div class="author-tooltip-name">P.P. Morris </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=P.P.%2BMorris%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Morris%20P&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AP.P.%2BMorris%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-9013-5624" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for P.P. Morris</a></li></ul></div><div class="author-tooltip-3"><div class="author-tooltip-name">F.E. Diehn </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=F.E.%2BDiehn%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Diehn%20F&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AF.E.%2BDiehn%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0001-9458-8017" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for F.E. Diehn</a></li></ul></div><div class="author-tooltip-4"><div class="author-tooltip-name">V.T. Lehman </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=V.T.%2BLehman%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Lehman%20V&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AV.T.%2BLehman%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-8713-8293" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for V.T. Lehman</a></li></ul></div><div class="author-tooltip-5"><div class="author-tooltip-name">G.B. Liebo </div><div class="author-tooltip-affiliation"><span class="author-tooltip-text"><div class='author-affiliation'><span class='nlm-sup'>a</span>From the Departments of Radiology (D.K.K., W.B., P.P.M., F.E.D., V.T.L., G.B.L., J.M.M., J.T.V., J.C.B., C.M.C.)</div></span></div><ul class="author-tooltip-find-more"><li class="author-tooltip-gs-link first"><a href="/lookup/google-scholar?link_type=googlescholar&amp;gs_type=author&amp;author%5B0%5D=G.B.%2BLiebo%2B" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on Google Scholar</a></li><li class="author-tooltip-pubmed-link"><a href="/lookup/external-ref?access_num=Liebo%20G&amp;link_type=AUTHORSEARCH" target="_blank" class="" data-icon-position="" data-hide-link-title="0">Find this author on PubMed</a></li><li class="author-site-search-link"><a href="/search/author1%3AG.B.%2BLiebo%2B" rel="nofollow" class="" data-icon-position="" data-hide-link-title="0">Search for this author on this site</a></li><li class="author-orcid-link last"><a href="https://orcid.org/0000-0002-7890-8698" target="_blank" class="" data-icon-position="" data-hide-link-title="0">ORCID record for G.B. 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        	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-volume highwire-cite-metadata">Vol. 41</span>, <span  class="highwire-cite-metadata-issue highwire-cite-metadata">Issue 1 </span><div  class="highwire-cite-metadata-pubdate highwire-cite-metadata">1 Jan 2020 </div></div>
      
      
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      <div class="highwire-cite-title">Lateral Decubitus Digital Subtraction Myelography: Tips, Tricks, and Pitfalls</div>  
    	<div class="highwire-cite-authors"><span  class="highwire-citation-authors"><span class="highwire-citation-author first" data-delta="0"><span class="nlm-given-names">D.K.</span> <span class="nlm-surname">Kim</span></span>, <span class="highwire-citation-author" data-delta="1"><span class="nlm-given-names">W.</span> <span class="nlm-surname">Brinjikji</span></span>, <span class="highwire-citation-author" data-delta="2"><span class="nlm-given-names">P.P.</span> <span class="nlm-surname">Morris</span></span>, <span class="highwire-citation-author" data-delta="3"><span class="nlm-given-names">F.E.</span> <span class="nlm-surname">Diehn</span></span>, <span class="highwire-citation-author" data-delta="4"><span class="nlm-given-names">V.T.</span> <span class="nlm-surname">Lehman</span></span>, <span class="highwire-citation-author" data-delta="5"><span class="nlm-given-names">G.B.</span> <span class="nlm-surname">Liebo</span></span>, <span class="highwire-citation-author" data-delta="6"><span class="nlm-given-names">J.M.</span> <span class="nlm-surname">Morris</span></span>, <span class="highwire-citation-author" data-delta="7"><span class="nlm-given-names">J.T.</span> <span class="nlm-surname">Verdoorn</span></span>, <span class="highwire-citation-author" data-delta="8"><span class="nlm-given-names">J.K.</span> <span class="nlm-surname">Cutsforth-Gregory</span></span>, <span class="highwire-citation-author" data-delta="9"><span class="nlm-given-names">R.I.</span> <span class="nlm-surname">Farb</span></span>, <span class="highwire-citation-author" data-delta="10"><span class="nlm-given-names">J.C</span> <span class="nlm-surname">Benson</span></span>, <span class="highwire-citation-author" data-delta="11"><span class="nlm-given-names">C.M.</span> <span class="nlm-surname">Carr</span></span></span></div>
  
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      <div class="highwire-cite-title">Lateral Decubitus Digital Subtraction Myelography: Tips, Tricks, and Pitfalls</div>  
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    	<div class="highwire-cite-metadata"><span  class="highwire-cite-metadata-oa-ind highwire-cite-metadata"><i class="highwire-oa-indicator"></i> </span><span  class="highwire-cite-metadata-journal highwire-cite-metadata">American Journal of Neuroradiology </span><span  class="highwire-cite-metadata-date highwire-cite-metadata">Jan 2020, </span><span  class="highwire-cite-metadata-volume highwire-cite-metadata">41 </span><span  class="highwire-cite-metadata-issue highwire-cite-metadata">(1) </span><span  class="highwire-cite-metadata-pages highwire-cite-metadata">21-28; </span><span  class="highwire-cite-metadata-doi highwire-cite-metadata"><span class="label">DOI:</span> 10.3174/ajnr.A6368 </span></div>
  
  
  
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