Table 2 Patient Characteristics
From: Spinal cerebrospinal fluid leak in the context of pars interarticularis fracture
Patient # (Age Gender) | Age of onset | Inciting event | Orthostatic headache (Worse upright) | MRI head (with and without gadolinium) | MRI spine | CT myelogram | Previous treatmenta (# of patches) |
|---|---|---|---|---|---|---|---|
1 (35 M) | 32 | Post-hiking | Yes | Diffuse pachymeningeal enhancement | Central disc protrusion at T7/8, T11/12 | Bilateral L5 PI # | 4 |
Diffuse epidural fluid collection in the whole spine | |||||||
Epidural fluid collection extending from L1-L5 | |||||||
2 (52F) | 50 | None | Yes | Diffuse pachymeningeal enhancement | Severe grade 3 L4/5 spondylolisthesis | Bilateral L4 PI # | 3 |
L4/5 anterolisthesis | |||||||
Subdural collections | Mildly prominent perineural spaces at bilateral C7-T1, right T7/8, T8/9, bilateral T9/10 | ||||||
Small left S2 perineural cyst | |||||||
3 (38F) | 34 | None | Yes | Normal | Mild degenerative changes in the C and L spine | Bilateral L5 PI # | 4 |
Multi-disc degeneration from C3-C6 | |||||||
Small amount of contrast seen in multiple perineural sleeves throughout the spine | |||||||
4 (49F) | 39 | None | Yes | Normal | C3/4, C4/5, C6/7 disc bulges | Bilateral L3 PI # | 2 |
Grade 1 L3/4 anterolisthesis | |||||||
L3/4 anterolisthesis | Nerve root sleeve opacification at the left C6/7, C7/T1, L5/S1 and right T12/L1 | ||||||
S1 Tarlov cyst | |||||||
5 (38F) | 34 | None | Yes | Normal | Prior discectomy at C5/6 | S1 PI # (right) | 3 |
Bilateral nerve root sleeves at C5/6, C6/7, C7/T1, T7/8, T9/10, T10/11 and all L levels | |||||||
6 (49 M) | 45 | Fall | Yes | Normal | Normal | Bilateral L5 PI # | 7 |
Calcified osteophyte on left L5/S1 facet join |