Persistent Epidural Fluid at the Cervical Spine Level, Lessons from Radiology ()
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.
Share and Cite:
Rupasingh, M. , Vanga, N. , Hemmad, A. and Johnson, S. (2015) Persistent Epidural Fluid at the Cervical Spine Level, Lessons from Radiology.
Open Access Library Journal,
2, 1-3. doi:
10.4236/oalib.1101591.
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