0:00

This is a patient who had, um, a postural headache, 64 year old lady,

0:04

and essentially she had perinatal cysts. They were pretty suspicious on ct,

0:08

but we really didn't see anything. It looked like it was leaking. Um,

0:11

and then I, I did do, uh, a fat sat, um, T one after injecting gadolinium,

0:15

and we did see a tiny leak from the one on the right here. Ultimately, um,

0:20

she did end up undergoing blood patch for this type four, um, leak and, and,

0:24

you know, did well, didn't need any additional treatments after that. Um,

0:27

here's another similar example, except this is actually a type two leak.

0:31

So this patient underwent Mr. Myography as well. Um,

0:33

she did have a suspicious looking nerve root on the, on the fiesta imaging.

0:38

There was just some irregularity, uh, of the, uh, nerve root sleeve itself.

0:42

And then a small sort of collection outside the nerve root sleeve.

0:45

And then we injected galene. We could see, uh, a small leak into that, um,

0:49

into that area. And then when we did the digital subtraction myelogram,

0:52

it was clearly extravasated from the fecal factor around the T 11 nerve root

0:55

here on the right side. So this patient again, underwent blood patch, did well,

0:59

didn't need any additional treatments.