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. 2020 Aug 29;11:267. doi: 10.25259/SNI_460_2020

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Copyright: © 2020 Surgical Neurology International

This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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Figure 1: — Case 1: Brain MRI on admission showed bilateral subdural hematoma (a: arrows), downward shifting of the red nucleus (a: dotted arrow), and deformation of the diencephalon-midbrain due to severe brain sagging (b: asterisk). Myelographic CT showed microspurs on the ventral side of the dura at the Th11/12 level (c: arrow) and a leak of the contrast medium out of the dura (d: arrowhead). Case 2: A spinal CSF leak was suspected in spine MRI (e: arrow). A dural tear (2 × 1 mm) and a microspur were found in the ventral dura at the Th1/2 level (f: arrow). The microspur was removed (g: arrow) and the dural tear was sealed with subcutaneous fat tissue (h).