PT  - JOURNAL ARTICLE
AU  - Mark, Ian T.
AU  - Oien, Michael P.
AU  - Benson, John C.
AU  - Verdoorn, Jared T.
AU  - Johnson-Tesch, Ben
AU  - Kim, DK
AU  - Cutsforth-Gregory, Jeremy
AU  - Madhavan, Ajay A.
TI  - CT-Guided Epidural Contrast Injection for the Identification of Dural Defects
AID  - 10.3174/ajnr.A8437
DP  - 2024 Aug 12
TA  - American Journal of Neuroradiology
PG  - ajnr.A8437
4099  - http://www.ajnr.org/content/early/2024/08/12/ajnr.A8437.short
4100  - http://www.ajnr.org/content/early/2024/08/12/ajnr.A8437.full
AB  - Post-dural puncture headache (PDPH) is an increasingly recognized cause of chronic headache. Outside of clinical history and myelography that requires an additional dural puncture, there is no reliable diagnostic test to evaluate for persistent dural defects. We describe the injection of iodinated contrast into the dorsal epidural space under CT guidance in five patients as a potential tool to visualize persistent dural defects.ABBREVIATIONS: PDPH = post-dural puncture headache; SIH = spontaneous intracranial hypotension; DSM = digital subtraction myelography; CTM = CT myelography