Delayed MRI myelography shows its value in a patient with orthostatic headache, very subtle intracranial MRI findings (albeit noncon) and negative dynamic CT myelography x2. Delayed MR myelography demonstrated a slow leak from a right T9-T10 perineural cyst!
#SIH#CSFleak
Interesting - this month, 2 papers w/ opposite conclusions on dx yield of DSM in possible #SIH w/ *neg brain imaging*.
Mayo paper: 0% yield for CVF - https://t.co/wBeD9v5CzF
Cedars paper: 10% yield for CVF - https://t.co/627efzcRKh