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Intracranial Hypotension as a Cause of Radiculopathy from Cervical Epidural Venous Engorgement: Case Report

Sait Albayram, Bruce A. Wasserman, David M. Yousem and Robert Wityk
American Journal of Neuroradiology April 2002, 23 (4) 618-621;
Sait Albayram
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Bruce A. Wasserman
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David M. Yousem
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    Fig 1.

    Contrast-enhanced sagittal T1-weighted (500/9/2 [TR/TE/NEX]) MR image shows the extent of venous engorgement in the cervical epidural space (arrows).

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    Fig 2.

    Contrast-enhanced axial T1-weighted (400/8/2) MR images at the level of the C2 vertebral body show intense bilateral enhancement (straight solid arrows) in the anterolateral cervical epidural space, consistent with the dilated epidural venous plexus. Note prominent flow void (curved arrow) in the enhancing right plexus and extension of dilated venous structures (open arrows) into the intervertebral foramina.

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    Fig 3.

    MR venogram (coronal reconstruction of maximum intensity projection) demonstrates cervical epidural venous engorgement from the most superior portion of the cervical spine to the thoracic inlet bilaterally (arrows).

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    Fig 4.

    Indium-111 DTPA cisternogram (anterior view) obtained approximately 4 hours after intrathecal injection shows extraarachnoid accumulation of the radionuclide (arrow) at the lumbar level. L indicates left.

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    Fig 5.

    Axial gradient-echo T2-weighted (40/15/1, flip angle 5°) MR image at the C2-C3 level obtained 6 months after symptoms spontaneously resolved shows improvement in the epidural venous engorgement bilaterally (arrows).

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American Journal of Neuroradiology: 23 (4)
American Journal of Neuroradiology
Vol. 23, Issue 4
1 Apr 2002
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Cite this article
Sait Albayram, Bruce A. Wasserman, David M. Yousem, Robert Wityk
Intracranial Hypotension as a Cause of Radiculopathy from Cervical Epidural Venous Engorgement: Case Report
American Journal of Neuroradiology Apr 2002, 23 (4) 618-621;

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Intracranial Hypotension as a Cause of Radiculopathy from Cervical Epidural Venous Engorgement: Case Report
Sait Albayram, Bruce A. Wasserman, David M. Yousem, Robert Wityk
American Journal of Neuroradiology Apr 2002, 23 (4) 618-621;
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