Sulcal FLAIR hyperintensity after CSF removal in two patients with intracranial hypertension Milad Yazdani, Seth T. Stalcup, Arindam R. Chatterjee, Maria.

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Sulcal FLAIR hyperintensity after CSF removal in two patients with intracranial hypertension Milad Yazdani, Seth T. Stalcup, Arindam R. Chatterjee, Maria G. Matheus European Journal of Radiology Open Volume 6, Pages 33-35 (January 2019) DOI: 10.1016/j.ejro.2018.12.005 Copyright © 2018 The Authors Terms and Conditions

Fig. 1 a–f Axial pre-contrast T2 FLAIR demonstrates appropriate sulcal CSF suppression (a). Same study shows bilateral papilledema (b). Axial pre-contrast T2 FLAIR after two lumbar punctures demonstrates Sulcal FLAIR hyperintensity (c) corresponding to vascular enhancement (d). One month later, there is resolution of Sulcal FLAIR hyperintensity (e) and decrease in leptomeningeal vascular prominence (f). European Journal of Radiology Open 2019 6, 33-35DOI: (10.1016/j.ejro.2018.12.005) Copyright © 2018 The Authors Terms and Conditions

Fig. 2 a–f Axial pre-contrast T2 FLAIR demonstrates appropriate sulcal CSF suppression (a). After lumbar puncture and subsequent lumbar drain placement, there is Sulcal FLAIR hyperintensity (b). Compared to pre lumbar puncture/drain T1 post contrast sequence (c), there is increased prominence of leptomeningeal vascularity (d) corresponding to sulcal FLAIR signal. Sagittal T1 sequence before (e) and after (f) lumbar puncture/drain shows interval sagging of the brainstem and enlargement of the pituitary gland. European Journal of Radiology Open 2019 6, 33-35DOI: (10.1016/j.ejro.2018.12.005) Copyright © 2018 The Authors Terms and Conditions