AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on October 18, 2007
doi: 10.3174/ajnr.A0746
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Gadolinium-Enhanced MR Cisternography to Evaluate Dural Leaks in Intracranial Hypotension Syndrome

S. Albayrama, F. Kilica, H. Ozera, S. Baghakib, N. Kocera and C. Islaka

a Division of Neuroradiology, Department of Radiology, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey
b Departments of Plastic, Reconstructive, and Aesthetic Surgery, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey


Figure 1
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  		Fig 1. Axial T1-weighted fat-saturated MR image shows a right-sided CSF leak at the cervicothoracic junction extending into the right paraspinal soft tissue (arrows) and epidural collection (arrowhead).


Figure 2
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  		Fig 2. Coronal (A) and axial (B and C) T1-weighted fat-saturated MR images reveal diffuse epidural (arrowhead) and paravertebral contrast accumulation (arrows) at the thoracolumbar area.


Figure 3
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  		Fig 3. Coronal and sagittal T1-weighted fat-saturated MR images show multiple bilateral meningeal diverticula (arrows) at the thoracic and lumbar level.


Figure 4
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  		Fig 4. A, Axial CT cisternography image shows right meningeal diverticulum (arrow) without CSF leak at the level of L1. B, Axial T1-weighted fat-saturated MR image reveals both a CSF leak on the right side (arrowheads) and a right meningeal diverticulum (arrow).





Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X