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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes CSF Leak From Dura After Undergoing Spinal Decompression And Dura Repair?

hi I have had 4 back surgery in 9 months one was a CSF leak I had a severed dura he surgical repaired it. I dont have any hardware had 2 microdisckectomy at L5 S1 had a really bad hernation with s1 nerve compression then had a open spinal decompression at L4 and L5 for spinal steniosis and facet hypothefey then the dura repair 3 weeks after.a spine doctor told me in the xray he just did he said I am all bone on bone and he can see fluide so he thinks i still have a slow leak from my dura which was repaired almost 4 months ago could he really see all that on just a xray?
Tue, 1 Oct 2019
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Addiction Medicine Specialist 's  Response
Hi,

Probably not. Certainly a leak isn't visible on X-ray. I doubt the puncture would be visible on X-ray. A shift in a structure would imply a leak but even that is hard to see on an X-ray.

Mostly, leaks are common, and there is a typical set of symptoms and findings you see with leaks and this would be a reasonable assertion to make.cannot say in your particular case, but generally, people can be pretty good with assertions.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Matt Wachsman, Addiction Medicine Specialist
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Neurologist, Surgical Dr. Dr. Erion Spaho's  Response
Hello,

X-rays may give general information about your condition and collections of fluid may be suspected.

However, a spinal MRI is an examination far more accurate than others.

Discuss with your Doctor for these issues.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Erion Spaho, Neurologist, Surgical
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What Causes CSF Leak From Dura After Undergoing Spinal Decompression And Dura Repair?

Hi, Probably not. Certainly a leak isn t visible on X-ray. I doubt the puncture would be visible on X-ray. A shift in a structure would imply a leak but even that is hard to see on an X-ray. Mostly, leaks are common, and there is a typical set of symptoms and findings you see with leaks and this would be a reasonable assertion to make.cannot say in your particular case, but generally, people can be pretty good with assertions. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist