Patient demographics, imaging findings, symptoms, treatment, and outcomes
Patient | Age | Sex | Other Imaging Findings | CTM Findings | Symptoms | Treatment | Outcome |
---|---|---|---|---|---|---|---|
1 | 28 | F | High-probability brain MR imaging | T12-L1 CVF on left; T11-12 on right; contrast in the renal collecting system | Orthostatic headache, multifocal pain | T11 nerve root ligation | Initial relief with subsequent recurrence of symptoms in the setting of Marfan syndrome |
2 | 50 | M | Intermediate-probability brain MR imaging | CVF at left L2-3 and contrast in the renal collecting system | Orthostatic headache | Blood patch, transvenous embolization of the left L2 paraspinal vein | Dramatic symptom improvement following embolization |
3 | 52 | M | High-probability brain MR imaging, positive cisternogram findings | Right T10 distal nerve root sleeve tear with extradural contrast first detected at L2-3 | Orthostatic headache, vision changes, pulsatile tinnitus | Hemi-laminectomy right T10-11, repair of CSF leak | Complete symptom resolution sustained for at least 1 year |
4 | 34 | F | Intermediate-probability brain MR imaging | Focus of CSF leak arising from the right lateral thecal sac at T7-8 thought to represent dural tear; contrast in the renal collecting system | Orthostatic headache, facial and hand paresthesia | Three targeted blood patches | Improvement after 3 targeted blood patches with recurrence of symptoms |
5 | 50 | F | Multiple nerve root diverticula on spine MR imaging | Faint linear hyperattenuation extending from a right T11-12 nerve sleeve diverticulum thought to represent CVF | Orthostatic headache, vision changes | Two targeted and 1 multifocal blood patch | Transient improvement after 2 targeted and 1 multifocal blood patch |
Note:—M indicates male; F, female.