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 OALibJ  Vol.2 No.6 , June 2015
Persistent Epidural Fluid at the Cervical Spine Level, Lessons from Radiology
Abstract: Following an accidental dural puncture during the placement of epidural anesthesia, leakage of cerebrospinal fluid occurs. This leads to tugging on intracranial pain-sensitive structures and causes a headache that is postural in nature. According to radiology literature, the presence of retro spinal fluid collections has been associated with the diagnosis of spontaneous intracranial hypotension. The characteristic C1-C2 radiographic sign, called the C1-C2 false localizing sign, can be found on magnetic resonance (MR) images as a focal area of fluid-like signal intensity and on CT myelograms as a CSF collection between the spinous processes of C1 and C2. As our case report demonstrates, this sign is also associated with intracranial hypotension after lumbar puncture.
Cite this paper: Rupasingh, M. , Vanga, N. , Hemmad, A. and Johnson, S. (2015) Persistent Epidural Fluid at the Cervical Spine Level, Lessons from Radiology. Open Access Library Journal, 2, 1-3. doi: 10.4236/oalib.1101591.
References

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[2]   Vadi, S. and Kumar, D. (2009) Pathophysiological Basis of Radiological Findings in Cerebrospinal Fluid Hypovolemia—A Case Report and Review of the Literature. The Internet Journal of Internal Medicine, 8, Number 1.

[3]   Medina, J.H., Abrams, K., Falcone, S. and Bhatia, R.G. (2010) Spinal Imaging Findings in Spontaneous Intracranial Hypotension. AJNR American Journal of Neuroradiology, 195, 459-464.
http://dx.doi.org/10.2214/AJR.09.3289

 
 
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