MRI Complete Spine Without IV Contrast There is no relevant literature to support the use of MRI complete spine without IV contrast in the initial imaging of suspected intracranial hypotension within 72 hours of dural puncture. MRI Head With IV Contrast There is no relevant literature to support the use of MRI head with IV contrast in the initial imaging of suspected intracranial hypotension within 72 hours of dural puncture. MRI Head Without and With IV Contrast There is no relevant literature to support the use of MRI head without and with IV contrast in the initial imaging of suspected intracranial hypotension within 72 hours of dural puncture. Imaging of Suspected Intracranial Hypotension MRI Head Without IV Contrast There is no relevant literature to support the use of MRI head without IV contrast in the initial imaging of suspected intracranial hypotension within 72 hours of dural puncture. Radiographic Myelography Digital Subtraction Complete Spine There is no relevant literature to support the use of dynamic digital subtraction myelography complete spine in the initial imaging of suspected intracranial hypotension within 72 hours of dural puncture. Variant 3: Adult. Orthostatic headache from suspected intracranial hypotension without improvement post 72 hours of dural puncture or other spinal intervention that could cause CSF leakage. Initial imaging. This clinical variant refers to a patient with orthostatic headache in temporal relation to a dural puncture that is not improving following a trial of conservative management. Imaging is not usually warranted in this clinical scenario, because the next management step for such patients typically involves an epidural blood patch procedure directed at the level of dural puncture [59-61].
Imaging of Suspected Intracranial Hypotension PCAs. MRI Complete Spine Without IV Contrast There is no relevant literature to support the use of MRI complete spine without IV contrast in the initial imaging of suspected intracranial hypotension within 72 hours of dural puncture. MRI Head With IV Contrast There is no relevant literature to support the use of MRI head with IV contrast in the initial imaging of suspected intracranial hypotension within 72 hours of dural puncture. MRI Head Without and With IV Contrast There is no relevant literature to support the use of MRI head without and with IV contrast in the initial imaging of suspected intracranial hypotension within 72 hours of dural puncture. Imaging of Suspected Intracranial Hypotension MRI Head Without IV Contrast There is no relevant literature to support the use of MRI head without IV contrast in the initial imaging of suspected intracranial hypotension within 72 hours of dural puncture. Radiographic Myelography Digital Subtraction Complete Spine There is no relevant literature to support the use of dynamic digital subtraction myelography complete spine in the initial imaging of suspected intracranial hypotension within 72 hours of dural puncture. Variant 3: Adult. Orthostatic headache from suspected intracranial hypotension without improvement post 72 hours of dural puncture or other spinal intervention that could cause CSF leakage. Initial imaging. This clinical variant refers to a patient with orthostatic headache in temporal relation to a dural puncture that is not improving following a trial of conservative management. Imaging is not usually warranted in this clinical scenario, because the next management step for such patients typically involves an epidural blood patch procedure directed at the level of dural puncture [59-61].