Intracranial Hypotension : MRI

Case Report:27 year old female without any previous co-morbidity and not on any medications was diagnosed with hydatidiform mole. Evacuation was done under spinal anesthesia. The next day following the procedure, she developed headache, which was only present on sitting on standing and was relieved on attaining supine position. After 2 days , she developed worsening of the headache which now became continuous and  she also developed right sided focal seizures in upper limb. Initial clinical diagnosis in the background of a hypercoagulable state (hydatiform mole), headache and seizures was cerebral venous thrombosis. However, since she developed a typical positional headache after the procedure under spinal, possibility of CVT secondary to Idiopathic Intracranial Hypotension was also considered and MRI with contrast advised.Case Submitted by Dr Rahul Rajeev, DM (Neurology Std)MRI Finding:MRI reveals pachymeningeal enhancement on the CEMR sections. Outstanding finding in the images is  venous distension sign and apparent rounding of the cross-section of the dural venous sinuses.  Prominence of inferior intercavernous sinuses also noted. Pituitary appears bulky. Splenium of corpus callosum is drooping down. These findings are consistent with intracranial hypotension probably secondary to lumbar puncture. Also noted are small filling defect (thrombus) in superior sagittal sinus extending towards left possibly explaining the seizures on the right side...
Source: Sumer's Radiology Site - Category: Radiology Authors: Source Type: blogs

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Publication date: November 2019Source: International Journal of Industrial Ergonomics, Volume 74Author(s): Trond Kongsvik, Øyvind Dahl, Ingunn Marie Holmen, Trine ThorvaldsenAbstractFew studies have explored the potential connection between safety climate and health issues. However, some recent research findings indicate that a poor safety climate can be considered a stressor that may be associated with physical symptoms and musculoskeletal complaints. This link is further explored in the present study on the basis of a questionnaire study of 446 sharp-end workers in the Norwegian aquaculture industry. The analysis ...
Source: International Journal of Industrial Ergonomics - Category: Occupational Health Source Type: research
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Source: Surgery (Oxford) - Category: Surgery Source Type: research
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Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
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Source: Medscape General Surgery Headlines - Category: Surgery Tags: Anesthesiology News Source Type: news
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Source: Journal of Vascular and Interventional Radiology - Category: Radiology Source Type: research
AbstractThe aim of the study was to compare CE-MRV with DANTE-SPACE on a 1.5T MRI system for the diagnosis of DVT. The patients were diagnosed with deep venous thrombosis of the lower extremities based on swelling, pain, and superficial varicose veins of the lower extremities. MRI examination confirmed the diagnosis. DANTE-SPACE images were obtained before the conventional contrast-enhanced MRV, which uses gadolinium. The scanning field started from the end of the inferior vena cava to the end of the ankle, divided into five observation segments, namely, the common iliac vein, external iliac vein, femoral vein, popliteal v...
Source: The International Journal of Cardiovascular Imaging - Category: Radiology Source Type: research
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Conclusions68% of all the patients obtained good pain tolerance through anal anesthetic block, females manifested better pain tolerance than males, in non-complicated anorectal pathology local block ha shown to be safe and reproductible for the treatment of benign anorectal pathology in the Guatemalan Institute for Social Security.ResumoIntroduçãoO uso de bloqueio anestésico regional aumentou ao mesmo tempo em que diminuiu o uso do anestésico espinhal nesse campo específico da atividade cirúrgica. Na última década, a cirurgia ambulatorial e o anestésico local a...
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research
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Source: Medgadget - Category: Medical Devices Authors: Tags: Anesthesiology Cardiology Critical Care Emergency Medicine Exclusive News Ob/Gyn Pediatrics Radiology Surgery Urology Vascular Surgery Source Type: blogs
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Source: European Annals of Otorhinolaryngology, Head and Neck Diseases - Category: ENT & OMF Source Type: research
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