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Two patients had overdraining shunts,and five had documented CSF leaks.One refused treatment,but the other six patients responded to surgical treatment or epidural blood patch with complete resolution of symptoms and related MRI abnormalities.Some patients with symptomatic CSF leaks may have CSF opening pressures that are consistently within normal limits.In the presence of convincing clinical features and imaging abnormalities,a normal CSF pressure should not discourage the clinician from searching for a source of CSF leak. |
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cerebrospinal fluid,leak
cerebrospinal fluid,pressure
cisternogram,radionuclide
epidural blood patch
gadolinium
headache
headache,positional
meningeal enhancement
MRI
MRI,abnormal
MRI,contrast enhanced
shunt procedure,ventricular
shunt procedure,ventricular-complications of
treatment of neurologic disorder
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