Intrathecal Gadolinium for Magnetic Resonance Myelography in Spontaneous Intracranial Hypotension: Valuable But May Be Risky

Detection rate of MR myelography without intrathecal gadolinium in patients with newly diagnosed spontaneous intracranial hypotension

“…5,10 MR myelography with intrathecal gadolinium and CT myelography are dynamic methods that can detect CSF leakage accurately 22e24 ; however, these are invasive procedures that require lumbar puncture, 6 which can exacerbate CSF volume depletion in patients with low CSF pressure. 25 Complications, such as encephalopathy or neurotoxic manifestations, including decreased mentality, global aphasia, and visual disturbance, may occur as adverse effects of contrast agents. 26,27 Moreover, CT myelography has a disadvantage radiation exposure.…”

“…When the published scoring system was applied to the included patients, 25 patients were categorised as low grade; 25…”