Niklas Lützen
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View article: Temporal Characteristics of Type 2 Lateral Spinal CSF Leaks on Digital Subtraction Myelography: Fast, Medium or Slow Leaks?
Temporal Characteristics of Type 2 Lateral Spinal CSF Leaks on Digital Subtraction Myelography: Fast, Medium or Slow Leaks? Open
SIH=spontaneous intracranial hypotension; DSM (digital subtraction myelography); CB-CTM (Cone-beam CT myelography); EID-CTM (energy-integrating detector CT myelography).
View article: Patients with chronic post‐dural puncture headache do not have typical imaging features of intracranial hypotension: An <scp>MRI</scp> study using the Bern score
Patients with chronic post‐dural puncture headache do not have typical imaging features of intracranial hypotension: An <span>MRI</span> study using the Bern score Open
Objective This study evaluated cranial magnetic resonance imaging (MRI) signs in patients with post‐dural puncture headache ( PDPH ) using an established assessment score developed for spontaneous intracranial hypotension (Bern score). We …
View article: Outcomes of CT-Guided Targeted Epidural Patching for Lateral Dural Tears in Spontaneous Intracranial Hypotension: A Multicenter Retrospective Cohort Study
Outcomes of CT-Guided Targeted Epidural Patching for Lateral Dural Tears in Spontaneous Intracranial Hypotension: A Multicenter Retrospective Cohort Study Open
CT-guided patching led to complete symptom resolution in roughly one-third of patients with lateral dural tears. Herniated arachnoid pouch predicted lower SLEC resolution, while procedural variables were not predictive of outcome. A subset…
View article: Decubitus Myelography for Spinal Extradural Arachnoid Cyst: Better Classified as a Lateral Dural CSF Leak?
Decubitus Myelography for Spinal Extradural Arachnoid Cyst: Better Classified as a Lateral Dural CSF Leak? Open
Spinal extradural arachnoid cysts are rare lesions that may result in compressive myelopathy. Their etiology is unclear, but they are thought to represent extradural collections due to a one-way dural defect from the subarachnoid space to …
View article: Digital Subtraction Myelography for the Detection of Type 1 Spinal CSF Leaks: Evaluation of Temporal Characteristics and Diagnostic Value
Digital Subtraction Myelography for the Detection of Type 1 Spinal CSF Leaks: Evaluation of Temporal Characteristics and Diagnostic Value Open
DSM demonstrated a high diagnostic yield for type 1 leaks when used as a first-line investigation. We have confirmed the high-flow characteristics of these leaks, suggesting that the high temporal resolution of DSM was ideally suited for t…
View article: Autologous platelet-rich fibrin as an alternative epidural patch for persistent post-dural puncture headache: A single-center observational study
Autologous platelet-rich fibrin as an alternative epidural patch for persistent post-dural puncture headache: A single-center observational study Open
Objectives Epidural blood patch (EBP) is the current standard of care for postdural puncture headache (PDPH). However, when EBP fails to provide relief, patients may experience discomfort and functional impairments. This study reports the …
View article: Plain Language Summary Publication: Mild cognitive impairment in spontaneous intracranial hypotension and its rapid reversal by repair of a spinal cerebrospinal fluid leak
Plain Language Summary Publication: Mild cognitive impairment in spontaneous intracranial hypotension and its rapid reversal by repair of a spinal cerebrospinal fluid leak Open
View article: Advanced Imaging of Type 2 Spinal CSF Leaks with Ultra-High-Resolution Conebeam CT Myelography
Advanced Imaging of Type 2 Spinal CSF Leaks with Ultra-High-Resolution Conebeam CT Myelography Open
Type 2 CSF leaks are spinal lateral dural tears, causing spontaneous intracranial hypotension. They may be visualized with digital subtraction myelography, conebeam CT myelography, and energy-integrating detector or photon-counting CT myel…
View article: Socioeconomic Effect Of Surgical Treatment Of Spinal CSF Leaks In Spontaneous Intracranial Hypotensionac
Socioeconomic Effect Of Surgical Treatment Of Spinal CSF Leaks In Spontaneous Intracranial Hypotensionac Open
View article: Management of chronic subdural hematoma in spontaneous intracranial hypotension
Management of chronic subdural hematoma in spontaneous intracranial hypotension Open
View article: Management Algorithm For Chronic Subdural Hematoma In Spontaneous Intracranial Hypotension
Management Algorithm For Chronic Subdural Hematoma In Spontaneous Intracranial Hypotension Open
View article: Surgical findings in chronic Post Dural Puncture Headache syndrome
Surgical findings in chronic Post Dural Puncture Headache syndrome Open
View article: Reply: Dementia in spontaneous intracranial hypotension: look at the spine
Reply: Dementia in spontaneous intracranial hypotension: look at the spine Open
View article: Postoperative dizziness after cochlear implant surgery: can it be caused by air?
Postoperative dizziness after cochlear implant surgery: can it be caused by air? Open
Objectives Multiple studies have described the onset and variable incidence of postoperative acute vertigo following cochlear implant (CI) surgery. However, postoperative imaging has not yet been specifically evaluated with special focus o…
View article: Mild cognitive impairment in spontaneous intracranial hypotension and its rapid reversal by repair of a spinal cerebrospinal fluid leak
Mild cognitive impairment in spontaneous intracranial hypotension and its rapid reversal by repair of a spinal cerebrospinal fluid leak Open
Background Patients with spontaneous intracranial hypotension (SIH) report difficulties in concentration and memory. To objectify these deficits, we implemented standard cognitive tests into our routine SIH workup. Method Retrospective, si…
View article: Chronic post-dural puncture headache–a serious and underrated complication following lumbar puncture: a cohort study
Chronic post-dural puncture headache–a serious and underrated complication following lumbar puncture: a cohort study Open
Background Post-dural puncture headache (PDPH) is still mostly regarded a minor complication after lumbar puncture. In the International Classification of Headache Disorders (ICHD)-3 headaches lasting longer than 14 days or persisting afte…
View article: Safety, Sequelae, and Efficacy of Nerve Root Clipping in Patients With Spontaneous Spinal Cerebrospinal Fluid Leaks
Safety, Sequelae, and Efficacy of Nerve Root Clipping in Patients With Spontaneous Spinal Cerebrospinal Fluid Leaks Open
BACKGROUND AND OBJECTIVES: Spinal cerebrospinal fluid (CSF) leaks may cause a myriad of clinical symptoms, the most common being orthostatic headache. Lateral leaks (Type II) and direct CSF-venous fistulas (Type III) are a subgroup of spin…
View article: More than a headache—somatic and mental symptom burden in spontaneous intracranial hypotension before and after surgical treatment
More than a headache—somatic and mental symptom burden in spontaneous intracranial hypotension before and after surgical treatment Open
Introduction Patients with spontaneous intracranial hypotension (SIH) frequently present with several symptoms and impaired mental health. This study systematically investigates the somatic and mental symptom burden of SIH and the effect o…
View article: Spinal CSF Leaks: The Neuroradiologist Transforming Care
Spinal CSF Leaks: The Neuroradiologist Transforming Care Open
Spinal CSF leak care has evolved during the past several years due to pivotal advances in its diagnosis and treatment. To the reader of the American Journal of Neuroradiology (AJNR), it has been impossible to miss the exponen…
View article: Primary CSF-lymphatic fistula: a previously unknown cause of spontaneous intracranial hypotension
Primary CSF-lymphatic fistula: a previously unknown cause of spontaneous intracranial hypotension Open
View article: Cerebrospinal fluid-venous fistula visualisation by intrathecal pressurization: A technical note and illustrative case
Cerebrospinal fluid-venous fistula visualisation by intrathecal pressurization: A technical note and illustrative case Open
CSF-venous fistulas (CVFs) are an important cause of spontaneous intracranial hypotension and challenging to diagnose. Lateral decubitus positioning during myelography and a technique called “resisted inspiration” has shown to improve CVF …
View article: Spinal dementia: Don’t miss it, it’s treatable
Spinal dementia: Don’t miss it, it’s treatable Open
View article: Reversible frontotemporal dementia in spinal cerebrospinal fluid-venous fistula
Reversible frontotemporal dementia in spinal cerebrospinal fluid-venous fistula Open
View article: Clinical value of neuroimaging indicators of intracranial hypertension in patients with cerebral venous thrombosis
Clinical value of neuroimaging indicators of intracranial hypertension in patients with cerebral venous thrombosis Open
View article: Non-invasive biomarkers for spontaneous intracranial hypotension (SIH) through phase-contrast MRI
Non-invasive biomarkers for spontaneous intracranial hypotension (SIH) through phase-contrast MRI Open
View article: Impact of Spinal CSF Leaks on Quality of Life and Mental Health and Long-Term Reversal by Surgical Closure
Impact of Spinal CSF Leaks on Quality of Life and Mental Health and Long-Term Reversal by Surgical Closure Open
The severe impact of a spinal CSF leak on HRQoL and mental health significantly improved after closure of the leak. Higher levels of depressive symptoms do not predict worse outcomes and should not discourage invasive treatment. Further sy…
View article: Don’t delay, but don’t despair: symptom duration, comorbidity and outcome after closure of spinal cerebrospinal fluid leaks
Don’t delay, but don’t despair: symptom duration, comorbidity and outcome after closure of spinal cerebrospinal fluid leaks Open
View article: Somatic and mental symptom burden in spontaneous intracranial hypotension - More than just a headache
Somatic and mental symptom burden in spontaneous intracranial hypotension - More than just a headache Open
View article: Keyhole Fenestration for Cerebrospinal Fluid Leaks in the Thoracic Spine: Quantification of Bone Removal and Microsurgical Anatomy
Keyhole Fenestration for Cerebrospinal Fluid Leaks in the Thoracic Spine: Quantification of Bone Removal and Microsurgical Anatomy Open
BACKGROUND AND OBJECTIVE: A safe working trajectory is mandatory for spinal pathologies, especially in the midline, anterior to the spinal cord. For thoracic cerebrospinal fluid (CSF) leaks, we developed a minimally invasive keyhole fenest…
View article: Surgical closure of spinal cerebrospinal fluid leaks improves symptoms in patients with superficial siderosis
Surgical closure of spinal cerebrospinal fluid leaks improves symptoms in patients with superficial siderosis Open
Background and purpose Spinal cerebrospinal fluid (CSF) leaks may cause a myriad of symptoms, most common being orthostatic headache. In addition, ventral spinal CSF leaks are a possible etiology of superficial siderosis (SS), a rare condi…