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KMID : 0880420110120040508
Korean Journal of Radiology
2011 Volume.12 No. 4 p.508 ~ p.512
Reversal in the Diameter of the Superior Ophthalmic Vein after an Epidural Blood Patch in a Case of Spontaneous Intracranial Hypotension
Hsiao Chen Yu

Tsai Yuh Feng
Abstract
Spontaneous intracranial hypotension (SIH) is caused by single or multiple cerebrospinal fluid (CSF) leaks in the spine with the prototypical symptom of postural headache. One of the characteristic MRI features in SIH is intracranial venous engorgement. This report presents a case of SIH with engorgement of the bilateral superior ophthalmic veins (SOVs) which resume their normal diameters by the third day of successful epidural blood patches (EBPs). We define this phenomenon as the "reversal of the SOV" sign.
KEYWORD
Blood patch, epidural, Cerebrospinal fluid (CSF), Intracranial hypotension, spontaneous, Magnetic resonance imaging (MRI)
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