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Resolution of pachymeningeal enhancement following dural puncture and blood patch

  • Diagnostic Neuroradiology
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Abstract

We describe thickening and contrast enhancement of the intracranial pachymeninges, revealed by MRI in a patient with presumed low-pressure headache following dural puncture and a blood patch. The clinical and radiological abnormalities resolved within 2 weeks.

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References

  1. Sable SG, Ramadan NM (1991) Meningeal enhancement and low CSF pressure headache. An MRI study. Cephalalgia 11: 275–276

    Google Scholar 

  2. Hochman SM, Naidich T, Kobetz S, Fernandez-Martin A (1992) Spontaneous intracranial hypotension with pachymeningeal enhancement on MRI. Neurology 42: 1628–1630

    Google Scholar 

  3. Hasegawa M, Yamashima T, Yamashita J, Masayuki S, Shimada S (1992) Traumatic subdural hygroma: pathology and meningeal enhancement on magnetic resonance imaging. Neurosurgery 31: 580–585

    Google Scholar 

  4. Miller DH, Kendall B, Barter S, Johnson G, MacManus D, Logsdail S, Ormerod I, McDonald W (1988) Magnetic resonance imaging in central nervous system sarcoidosis. Neurology 38: 378–383

    Google Scholar 

  5. Kumar A, Montanera W, Willinsky R, TerBrugge K, Aggarwal S (1993) MR features of tuberculous arachnoiditis. J Comput Assist Tomogr 17: 127–130

    Google Scholar 

  6. Berger B, Ortiz O, Gold A, Hilal S (1992) Total cerebrospinal fluid enhancement following intravenous Gd-DTPA administration in a case of meningiomatosis. AJNR 13: 15–18

    Google Scholar 

  7. Destian S, Heier L, Zimmerman R, Morgello S, Deck M (1989) Differentiation between meningeal fibrosis and chronic subdural hematoma after ventricular shunting: value of enhanced CT and MR scans. AJNR 10: 1021–1026

    Google Scholar 

  8. Tokumaru A, Toshihiro S, Eguchi T, Kawamoto S, Kokubo T, Suzuki M, Toshitada K (1990) Prominent meningeal enhancement adjacent to meningioma on Gd-DTPA-enhanced MR images: histopathologic correlation. Radiology 175: 431–433

    Google Scholar 

  9. Sze G, Soletsky S, Bronen R, Krol G (1989) MR imaging of the cranial meninges with emphasis on contrast enhancement and meningeal carcinomatosis. AJR 153: 1039–1049

    Google Scholar 

  10. Burke J, Podrasky A, Bradley W (1990) Meninges: benign postoperative enhancement on MR images. Radiology 174: 99–102

    Google Scholar 

  11. Adams RD, Victor M (1993) Principles of neurology, 5th edn. McGraw-Hill, New York, pp 11–16, 151–152, 549–550

    Google Scholar 

  12. Pannullo S, Reich J, Posner JB (1992) Meningeal enhancement associated with low intracranial pressure (abstract). Neurology 42 [Suppl 3]: 430

    Google Scholar 

  13. Fishman RA, Dillon WP (1993) Dural enhancement and cerebral displacement secondary to intracranial hypotension. Neurology 43: 609–611

    Google Scholar 

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Gordon, R.E., Moser, F.G., Pressman, B.D. et al. Resolution of pachymeningeal enhancement following dural puncture and blood patch. Neuroradiology 37, 557–558 (1995). https://doi.org/10.1007/BF00593719

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  • DOI: https://doi.org/10.1007/BF00593719

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