Embolization of a spinal CSF venous fistula: A review of venous anatomy, endovascular techniques and current literature

Justin Costello presents the case of a 53-year-old woman who developed progressively severe posterior headaches following a rollercoaster ride. Brain MRI clearly indicated intracranial hypotension, but spinal MRI showed no extradural fluid, pointing toward the diagnosis of a CSF-venous fistula.
Discover the full diagnostic pathway and the management strategy selected by the surgical team among three options: percutaneous fibrin occlusion, endovascular embolization, or open surgical ligation.