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KMID : 0374920150360010041
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Inje Medical Journal
2015 Volume.36 No. 1 p.41 ~ p.46
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Two Cases of the Cerebrospinal Fluid Hypovolemia Successfully Diagnosed and Treated by Using of Heavily T2-Weighted MR Myelography
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Jeong Jin-Ho
Kim Eung-Gyu
Kim Sang-Jin
Lee Sun-Joo
Choo Hye-Jung
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Abstract
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Background: Cerebrospinal fluid (CSF) hypovolemia is characterized by orthostatic headaches caused by spontaneous or iatrogenic CSF leaks. Heavily T2-weighted MR myelography (MRM) is known as a accurate and noninvasive technique in diagnosis and localizing CSF leaks.
Cases reports: We report 2 cases. One is a case of spontaneous CSF hypovolemia successfully treated by using of MRM for targeted epidural blood patch (EBP) as demonstration of CSF leaks. The other is a case of iatrogenic CSF hypovolemia with equivocal clinical presentation in which MRM supported the diagnosis.
Conclusion: We experienced the clinical usefulness of MRM for diagnosis and treatment of CSF hypovolemia in these cases.
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KEYWORD
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Heavily T2-weighted MR myelography, CSF hypovolemia Epidural blood patch, Orthostatic headache
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