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Persistent Epidural Fluid at the Cervical Spine Level, Lessons from RadiologyDOI: 10.4236/oalib.1101591, PP. 1-3 Subject Areas: Anaesthesiology & Pain Management Keywords: Post Dural Puncture Headache, MRI Imaging Abstract 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. Rupasingh, M. N. , Vanga, N. , Hemmad, A. R. and Johnson, S. A. (2015). Persistent Epidural Fluid at the Cervical Spine Level, Lessons from Radiology. Open Access Library Journal, 2, e1591. doi: http://dx.doi.org/10.4236/oalib.1101591. References
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