%0 Journal Article
%T Persistent Epidural Fluid at the Cervical Spine Level, Lessons from Radiology
%A Madhumani N. Rupasingh
%A Naveen Vanga
%A Aseem R. Hemmad
%A Sonya A. Johnson
%J Open Access Library Journal
%V 2
%N 6
%P 1-3
%@ 2333-9721
%D 2015
%I Open Access Library
%R 10.4236/oalib.1101591
%X 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.
%K Post Dural Puncture Headache
%K MRI Imaging
%U http://www.oalib.com/paper/3146233