Spinal dural enhancement on magnetic resonance imaging associated with spontaneous intracranial hypotension

N. Nicole Moayeri, John W. Henson, Pamela W. Schaefer, Nicholas T. Zervas

Research output: Contribution to journalArticlepeer-review

107 Scopus citations

Abstract

This report offers a description of typical changes seen on gadolinium- enhanced magnetic resonance (MR) imaging of the entire spine that indicate spontaneous intracranial hypotension (SIH). To the authors' knowledge, this is the first report of its kind. They describe three cases of SIH that were accompanied by dural enhancement throughout the neuraxis on imaging, with the evolution of associated subdural and epidural fluid collections in the spine. Recognition of this disorder is important to be able to distinguish it from an infectious or neoplastic process in which surgical intervention might be warranted. Evaluation using gadolinium-enhanced cranial and spinal MR imaging in patients with postural headaches and all 111In-labeled cerebrospinal fluid leak study are discussed. Treatment with an epidural blood patch is shown to be particularly effective, with resolution of the radiological and clinical findings.

Original languageEnglish (US)
Pages (from-to)912-918
Number of pages7
JournalJournal of neurosurgery
Volume88
Issue number5
DOIs
StatePublished - May 1998
Externally publishedYes

Keywords

  • Epidural blood patch
  • Headache
  • Spinal dural enhancement
  • Spinal magnetic resonance imaging
  • Spontaneous intracranial hypotension

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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