EURORAD ESR

Case 15541

Spontaneous intracranial hypotension and spinal CSF leak

Author(s)
Pablo Naval Baudin1; Christopher Tomingas2; Mauricio Castillo2

1. Deptartment of Radiology ICS-IDI. Hospital Universitari de Bellvitge. Barcelona, Spain
2. Department of Radiology. University of North Carolina. Chapel Hill, NC, USA.
 
Patient
male, 67 year(s)
 
 
  • Figure 1
    Workup
     

    Midsagittal T1W MR image shows decreased pontomesencephalic angle (42º).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fistula;

    Axial T2W MR shows subdural fluid collections (arrowheads).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fistula;

    Axial post-contrast T1W image show diffuse thin enhancement of the pachymeninges.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fistula;

    Sagittal post-contrast T1W image shows diffusely engorged torcula and venous sinuses in general, as well as engorged and hyperenhancing pituitary gland.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fistula;

    CT myelogram at two consecutive levels shows contrast leakage through the right intervertebral T1-T2 foramen (arrows).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fistula;
     
     
Midsagittal T1W MR image shows decreased pontomesencephalic angle (42º).
 
Axial T2W MR shows subdural fluid collections (arrowheads).
 
Axial post-contrast T1W image show diffuse thin enhancement of the pachymeninges.
 
Sagittal post-contrast T1W image shows diffusely engorged torcula and venous sinuses in general, as well as engorged and hyperenhancing pituitary gland.
 
CT myelogram at two consecutive levels shows contrast leakage through the right intervertebral T1-T2 foramen (arrows).
 
 
 
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