MRI findings in lumbar puncture headache syndrome: Abnormal dural-meningeal and dural venous sinus enhancement

被引:52
作者
Bakshi, R
Mechtler, LL
Kamran, S
Gosy, E
Bates, VE
Kinkel, PR
Kinkel, WR
机构
[1] SUNY Buffalo, Sch Med & Biomed Sci, Buffalo, NY 14260 USA
[2] Lucy Dent Imaging Ctr, Dept Neurol, Buffalo, NY 14260 USA
[3] Lucy Dent Imaging Ctr, Dept Neuroimaging, Buffalo, NY 14260 USA
[4] Kaleida Hlth Millard Fillmore Gates Circle Hosp, Buffalo, NY USA
关键词
intracranial hypotension; lumbar puncture; meningeal enhancement; MRI; venous enhancement;
D O I
10.1016/S0899-7071(99)00109-6
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Intracranial hypotension (IH) is a treatable cause of persistent headaches. Persistent cerebrospinal fluid (CSF) leak at a lumbar puncture (LP) site may cause IH. We present postcontrast MRI of a patient with post-lumbar-puncture headache (LPHA) showing abnormal, intense, diffuse, symmetric, contiguous dural-meningeal (pachymeningeal) enhancement of the supratentorial and infratentorial intracranial dura, including convexities, interhemispheric fissure, tentorium, and fair. MRI also showed abnormal dural venous sinus enhancement, a new finding in LPHA, suggesting compensatory venous expansion. Thus, IH and venodilatation may play a role in the development of LPHA. (C) Elsevier Science Inc., 1999.
引用
收藏
页码:73 / 76
页数:4
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