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Postural Headache and Cerebrospinal Fluid Leak: Believing Is Seeing
Author(s) -
Goadsby Peter,
Jager H. Rolf
Publication year - 2003
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1046/j.1526-4610.2003.03114.x
Subject(s) - myelography , iohexol , leak , extravasation , medicine , cerebrospinal fluid , anesthesia , cerebrospinal fluid leak , contrast medium , computed tomography , contrast (vision) , surgery , radiology , nuclear medicine , pathology , spinal cord , psychiatry , environmental engineering , renal function , engineering , artificial intelligence , computer science
A 33‐year‐old woman developed persistent postural headache following epidural anesthesia (L2‐L3 level). Iohexol myelography (L5‐S1 puncture) demonstrated no epidural extravasation of contrast material (Figure A), but subsequent computed tomography (CT) axial images (B, C) revealed leakage of dye through the needle track of the L5‐S1 puncture (arrows). No leakage of contrast medium was found at the site of the L2‐L3 epidural puncture.