KMID : 0880420110120040508
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Korean Journal of Radiology 2011 Volume.12 No. 4 p.508 ~ p.512
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Reversal in the Diameter of the Superior Ophthalmic Vein after an Epidural Blood Patch in a Case of Spontaneous Intracranial Hypotension
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Hsiao Chen Yu
Tsai Yuh Feng
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Abstract
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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.
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KEYWORD
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Blood patch, epidural, Cerebrospinal fluid (CSF), Intracranial hypotension, spontaneous, Magnetic resonance imaging (MRI)
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