ABSTRACT
Spontaneous intracranial hypotension (SIH) most commonly results from cerebrospinal fluid (CSF) leaks in the upper spinal canal. Alterations in the equilibrium between the volumes of intracranial blood and CSF lead to compensatory dilatation of the vascular spaces, mostly on the venous side. Dynamic computerized tomogram (CT) myelography can be very helpful in diagnosing the site of a CSF leak in the spinal canal. Subsequently, the site of the leak can be sealed with epidural blood patch (EBP).
Subject(s)
Blood Patch, Epidural , Cerebrospinal Fluid Leak/diagnostic imaging , Cerebrospinal Fluid Leak/therapy , Intracranial Hypotension/etiology , Myelography , Tomography, X-Ray Computed , Female , Humans , Magnetic Resonance Imaging , Middle AgedABSTRACT
Traumatic lipohemarthrosis of the wrist joint in association with a scaphoid fracture is an unreported entity. We present the first case report of MRI appearance of a double fluid-fluid level of lipohemarthrosis caused by a scaphoid fracture. The presence of a double fluid-fluid level within the injured joint definitely establishes a lipohemarthrosis. A traumatic lipohemarthrosis is considered synonymous with an intra-articular fracture and has important implications for patient management. A limited MRI scan for diagnosis or exclusion of scaphoid fracture may be more cost-effective than expectant management and subsequent followup visits.
