article information

Iranian Journal of Radiology: Vol.10, issue 3; 172-174
published online: August 29, 2013
article type: Case Report
received: December 23, 2011
accepted: March 29, 2013
DOI: https://doi.org/10.5812/iranjradiol.3929
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Different MRI Signs in Predicting the Treatment Efficacy of Epidural Blood Patch in Spontaneous Intracranial Hypotension: A Case Report

authors:

avatar Ching Wen Huang 1 , avatar Yuh Feng Tsai 3 , * , avatar Chen Yu Hsiao 1

Department of Diagnostic Radiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
Neuroimaging Center, Department of Health Management, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei,Taiwan

how to cite: Huang C W, Tsai Y F, Hsiao C Y. Different MRI Signs in Predicting the Treatment Efficacy of Epidural Blood Patch in Spontaneous Intracranial Hypotension: A Case Report. I J Radiol. 2013;10(3): 172-174. https://doi.org/10.5812/iranjradiol.3929.

Abstract

Abstract
The current mainstay of treatment in spontaneous intracranial hypotension (SIH) is an epidural blood patch (EBP). Although magnetic resonance imaging (MRI) has a well-established role in the diagnosis of SIH, imaging features regarding the treatment efficacy of EBP have rarely been discussed. We therefore sought to investigate and compare the sequential brain MRI studies before and after EBP by evaluating the changes of the following intracranial structuresthe contour of the transverse dural sinus (TDS), tension of the pituitary stalk (or the infundibulum), and thickness of the dura mater. We found that the progressive reversals of these structures are predictive of an effective EBP.

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