Incidental findings of CSF leakage in patients without spontaneous intracranial hypotension and development of post-dural puncture headache

Objectives To determine if nerve root sleeve diverticula or CSF leakage correlate with post-dural puncture headache (PDPH). Methods A total of 781 lumbar and 408 cervical post-myelogram CTs were reviewed using a total diverticulum and leakage (TDL) score: 1, nerve root sleeve diverticulum not beyond...

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Bibliographic Details
Published in:European radiology 2014-04, Vol.24 (4), p.827-833
Main Authors: Fakhran, Saeed, Palfey, Stacy, Thomas, Andrew, Schwarz, Samuel, Alhilali, Lea
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Cerebrospinal Fluid - diagnostic imaging
Diagnostic Radiology
Diverticulum - complications
Diverticulum - diagnostic imaging
Epidural
Female
Headaches
Humans
Hypotension
Imaging
Incidental Findings
Internal Medicine
Interventional Radiology
Male
Medicine
Medicine & Public Health
Middle Aged
Myelography
Neuro
Neuroradiology
Pathophysiology
Patient Selection
Patients
Post-Dural Puncture Headache - etiology
Radiculopathy - complications
Radiculopathy - diagnostic imaging
Radiology
Retrospective Studies
Risk factors
Spinal Puncture - adverse effects
Tomography, X-Ray Computed
Ultrasound
Young Adult
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Summary:Objectives To determine if nerve root sleeve diverticula or CSF leakage correlate with post-dural puncture headache (PDPH). Methods A total of 781 lumbar and 408 cervical post-myelogram CTs were reviewed using a total diverticulum and leakage (TDL) score: 1, nerve root sleeve diverticulum not beyond the lateral vertebral body; 2, diverticulum beyond the lateral vertebral body; 3, periradicular contrast; 4, epidural contrast medium collection. Two scores at each level (left, right) were added for a total score. Results were correlated with post-procedure follow-up. Results PDPH occurred in 22 (2.8 %) lumbar and 15 (3.7 %) cervical patients. Iodine concentration was not significantly different in lumbar ( P  = 0.14) or cervical ( P  = 0.85) patients with or without PDPH. Total scores correlated with PDPH after lumbar ( P  
ISSN:0938-7994
1432-1084
DOI:10.1007/s00330-013-3070-0