Reel by MBR Health

MBR Health@mbr_health
2.3K Likes
119 Comments

A severe headache one month after a C-section led to an unexpected finding on MRI. This 32-year-old woman had several characteristic features on brain MRI, including downward displacement of the cerebellar tonsils, slit-like ventricles and smooth pachymeningeal thickening and enhancement. Together, these findings raised suspicion for intracranial hypotension due to a CSF leak. The next step? MRI of the lumbar spine to look for a potential site of CSF leakage, including around a previous epidural or spinal procedure. A fascinating example of how seemingly unrelated findings can come together to point towards the underlying diagnosis. #MRI #BrainMRI #CSFLeak #radiology #intracranialhypotension

People in this post

Co-authors and accounts tagged in the frame.

Comments

A preview Instagram ships with the post — 15 of 119 public comments.

@ouraxriri I would have never thought a c section could fuck up my brain and head 😂😂😂😂

@chardabar A month is crazy long. EBP is recommended 48h after epidural for persistent headache. This poor mom :(

· 1 likes

@sara.busbate Have the exact problem.... MRI was clear ... but did the blood patch though

@el.figo1994 90% of the time its doctors causing damage that other doctors fix, that’s the medical cycle that feeds the hospital systems… that’s why i never go to a doctor unless I have a broken bone

@keenahs_kitchen Looks like a chiari malformation

· 1 likes

@courtneyrdevereux Need my algorithm to stop showing me shite like this 5 weeks before my c section

· 1 likes

@fraserdoggo Do you know what impresses me the most? That this woman want given a script for anxiety meds and sent home.

· 1 likes

@sgne4407 My epidural gave me a temporary Horner's syndrome.

@erin5231 😮

· 1 likes

@silvertiger007 and she needs a patch.

@douglasfkeene Did anyone consult anesthesia? Headache after csection... 2 MRIs

@douglasfkeene My first thought: s/p c-section, likely neuraxial anesthesia, post mural puncture headache. Postural?

@theintrovertbabygirl My goodness. The list keeps going

@_thecaffeinatedone_ Do they tell women this before giving epidural that you may leak your fluids from nervous system. If they will I bet half of them wouldn't opt for epidural!

@cinthyawiersma I had this happen to me and had a blood epidural done after 3 days of horrible postpartum headaches to fix the problem. Worked. It was bad.

Topics in this caption

All popular topics 

Each tag opens the popular posts Instagram returns for it.

Keep watching