Chronic Postmyelogram HeadacheIsotopic Demonstration of Dural Leak and Surgical Cure
Harvey Gass, MD;
Abe S. Goldstein, MD;
Robert Ruskin, MD;
Norman A. Leopold, DO
Arch Neurol. 1971;25(2):168-170.
Abstract
Following a myelogram a patient developed postlumbar puncture headache which was incapacitating and persistent 18 weeks after onset. Scans of the lumbar spine were performed 2 hours and 20 hours after iodinated I 131 serum albumin (Risa-131) was injected through a cisterna magna puncture. These demonstrated and localized a functioning cerebrospinal fluid leak through the dura. Surgical repair of the dural hole was made with prompt cure of the syndrome.
Author Affiliations
Detroit
From the departments of neurological surgery (Dr. Gass), medicine (Dr. Goldstein), and radiology (Dr. Ruskin), Sinai Hospital, and Wayne State University Medical School, Detroit. Dr. Leopold is now with the Boston University School of Medicine.
Footnotes
Accepted for publication Feb 22, 1971.
Reprint requests to 529 Fisher Bldg, Detroit 48202 (Dr. Gass).
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