A 58-year-old woman with positional headaches and tinnitus.

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Presentation transcript:

A 58-year-old woman with positional headaches and tinnitus. A 58-year-old woman with positional headaches and tinnitus. A, Curved plane reformatted image from a CT myelogram demonstrates numerous spinal meningeal diverticula of varying sizes (arrowheads); no CSF leak was directly visualized. B, Coronal T1 postcontrast image from an MR image obtained before treatment shows diffuse smooth dural enhancement (arrows) and pituitary enlargement, compatible with SIH. C, Coronal T1 postcontrast image obtained following blood patching targeting the diverticula seen in A shows resolution of the imaging findings of SIH. The patient's symptoms completely resolved following treatment. P.G. Kranz et al. AJNR Am J Neuroradiol 2013;34:1284-1289 ©2013 by American Society of Neuroradiology