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Comment & Response
June 2014

Intrathecal Gadolinium for Magnetic Resonance Myelography in Spontaneous Intracranial Hypotension: Valuable But May Be Risky—Reply

Author Affiliations
  • 1Department of Neurology, University Hospital Basel, Basel, Switzerland
  • 2Division of Diagnostic and Interventional Neuroradiology, Department of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland
  • 3Institute of Radiology, Department of Neuroradiology, Kantonsspital Baden AG, Baden, Switzerland
JAMA Neurol. 2014;71(6):802-803. doi:10.1001/jamaneurol.2014.577

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).

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