In Reply In their letter to the editor, Parissis et al correctly point out that intrathecal contrast-enhanced magnetic resonance myelography may have a negative impact on the symptoms of patients with spontaneous cerebrospinal fluid leaks and intracranial hypotension. It was beyond the scope of our brief article to provide a comprehensive in-depth review of the pros and cons of intrathecal contrast-enhanced magnetic resonance myelography or other methods to diagnose and treat spontaneous intracranial hypotension (SIH).
Papadopoulou A, Ahlhelm FJ, Sprenger T. Intrathecal Gadolinium for Magnetic Resonance Myelography in Spontaneous Intracranial Hypotension: Valuable But May Be Risky—Reply. JAMA Neurol. 2014;71(6):802-803. doi:10.1001/jamaneurol.2014.577