PMC3564274_01
R: imaging demonstrates periventricular high signal intensity lesions, which exhibit a typical distribution for multiple sclerosis (Dawson's fingers). A: it shows corpus callosal hyperintensities suggestive of a demyelinating process. Patient does not have evidence of brain stem sagging, dilatation of vein or dural sinuses, and effacement of hemispheric cortical sulci. Absence of any of these signs does not preclude the diagnosis of postdural puncture headache.
CRIM.ANESTHESIOLOGY2013-253218.001.jpg
PMC3564274_01_CRIM.ANESTHESIOLOGY2013-253218.001.jpg
fig1
She was seen the next day by another neurologist in the USA and after a complete examination was diagnosed with PDPH and repeated MRI of brain was completed at the same day (Figure 1).