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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
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@chardabar A month is crazy long. EBP is recommended 48h after epidural for persistent headache. This poor mom :(
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@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
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@courtneyrdevereux Need my algorithm to stop showing me shite like this 5 weeks before my c section
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@fraserdoggo Do you know what impresses me the most? That this woman want given a script for anxiety meds and sent home.
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@sgne4407 My epidural gave me a temporary Horner's syndrome.
@erin5231 😮
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@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.
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@ouraxriri I would have never thought a c section could fuck up my brain and head 😂😂😂😂