1naresh
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Patient Age Sex Other Imaging Findings CTM Findings Symptoms Treatment Outcome 1 28 F High-probability brain MR imaging T12-L1 CVF on left; T11-12 on right; contrast in the renal collecting system Orthostatic headache, multifocal pain T11 nerve root ligation Initial relief with subsequent recurrence of symptoms in the setting of Marfan syndrome 2 50 M Intermediate-probability brain MR imaging CVF at left L2-3 and contrast in the renal collecting system Orthostatic headache Blood patch, transvenous embolization of the left L2 paraspinal vein Dramatic symptom improvement following embolization 3 52 M High-probability brain MR imaging, positive cisternogram findings Right T10 distal nerve root sleeve tear with extradural contrast first detected at L2-3 Orthostatic headache, vision changes, pulsatile tinnitus Hemi-laminectomy right T10-11, repair of CSF leak Complete symptom resolution sustained for at least 1 year 4 34 F Intermediate-probability brain MR imaging Focus of CSF leak arising from the right lateral thecal sac at T7-8 thought to represent dural tear; contrast in the renal collecting system Orthostatic headache, facial and hand paresthesia Three targeted blood patches Improvement after 3 targeted blood patches with recurrence of symptoms 5 50 F Multiple nerve root diverticula on spine MR imaging Faint linear hyperattenuation extending from a right T11-12 nerve sleeve diverticulum thought to represent CVF Orthostatic headache, vision changes Two targeted and 1 multifocal blood patch Transient improvement after 2 targeted and 1 multifocal blood patch
Note:—M indicates male; F, female.