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Different MRI Signs in Predicting the Treatment Efficacy of Epidural Blood Patch in Spontaneous Intracranial Hypotension: A Case Report

AUTHORS

Ching Wen Huang 1 , Yuh Feng Tsai 3 , * , Chen Yu Hsiao 1

AUTHORS INFORMATION

1 Department of Diagnostic Radiology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan

3 Neuroimaging Center, Department of Health Management, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei,Taiwan

ARTICLE INFORMATION

Iranian Journal of Radiology: 10 (3); 172-174
Published Online: August 29, 2013
Article Type: Case Report
Received: December 23, 2011
Accepted: March 29, 2013
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Abstract

Abstract

The current mainstay of treatment in spontaneous intracranial hypotension (SIH) is an epidural blood patch (EBP). Although magnetic resonance imaging (MRI) has a well-established role in the diagnosis of SIH, imaging features regarding the treatment efficacy of EBP have rarely been discussed. We therefore sought to investigate and compare the sequential brain MRI studies before and after EBP by evaluating the changes of the following intracranial structuresthe contour of the transverse dural sinus (TDS), tension of the pituitary stalk (or the infundibulum), and thickness of the dura mater. We found that the progressive reversals of these structures are predictive of an effective EBP.

Keywords

Blood Patch, Epidural Pituitary Gland, Posterior Intracranial Hypotension Magnetic Resonance Imaging Cranial Sinuses

© 2013, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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