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An Innovative Journal in the Field of Radiology
e-ISSN 2008-2711
p-ISSN 1735-1065
Different MRI Signs in Predicting the Treatment Efficacy of Epidural Blood Patch in Spontaneous Intracranial Hypotension: A Case Report
Authors
1Department of Diagnostic Radiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
3Neuroimaging Center, Department of Health Management, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei,Taiwan
*Corresponding Author: Department of Diagnostic Radiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan, R.O.C. Tel: +886-968995558, Fax: +886-223699103, yuhfeng.tsai@msa.hinet.net. Email: yuhfeng.tsai@msa.hinet.net
Published online:Aug 29, 2013
Article type:Case Report
Received:Dec 23, 2011
Accepted:Mar 29, 2013
How to Cite:Huang CW, Tsai YF, Hsiao CY. 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):. doi: 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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Copyright
© 2013, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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