Type 3 CSF leak (SLEC-N). Type 3 CSF leak (SLEC-N). A, Schematic depiction of a CSF-to-venous fistula arising from a dural tear along the nerve root sleeve.

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Presentation transcript:

Type 3 CSF leak (SLEC-N). Type 3 CSF leak (SLEC-N). A, Schematic depiction of a CSF-to-venous fistula arising from a dural tear along the nerve root sleeve beyond the epidural compartment (see text). Nonsubtracted (B) and magnified, subtracted (C) images from separate left-side-down DSM runs in a patient negative for SLEC with SIH. A small vascular structure, in keeping with a tortuous vein of a CVF, can be seen coursing away from the root sleeve (arrows). An incidental normal diverticulum is also noted at the level above (arrowhead). D and E, Nonsubtracted images of decubitus DSMs of 2 other similarly presenting patients negative for SLEC demonstrating CVFs. Globular collections of contrast (dashed arrow) are commonly seen near the expected zone of origin of the vein, possibly representing a focal extravasation (pseudomeningocele) of contrast or a diverticulum from which the vein appears to arise. R.I. Farb et al. AJNR Am J Neuroradiol 2019;40:745-753 ©2019 by American Society of Neuroradiology