[Useful MRI findings for diagnosis of postspinal headache: a case report].
A 49-year-old man developed severe headache after spinal anesthesia. We found diffuse meningeal enhancement on gadolinium enhanced MRI and diffuse meningeal thickening on plain MRI. These MRI findings and postural headache suggest intracranial hypotension. Injection of autologous blood 10 ml into his epidural space was effective to ameliorate the headache. MRI findings were useful for the diagnosis of postspinal headache.
Niijima
Aya
A
Department of Anesthesiology and Reanimatology, Gunma University School of Medicine, Maebashi 371-8511.
Iriuchijima
Nobuhisa
N
Tomioka
Akihiro
A
Sasaki
Masayuki
M
Sudo
Makoto
M
Goto
Fumio
F
D000775:Anesthesia, Spinal / Q000009:adverse effects*; D017217:Blood Patch, Epidural; D005682:Gadolinium; D006261:Headache / Q000209:etiology* / Q000628:therapy; D006801:Humans; D019585:Intracranial Hypotension / Q000175:diagnosis* / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged
D005682:Gadolinium