Reason: 14 year old with intractable migraines s/p LP presenting with back pain, neck pain: please evaluate for focal defect History: Back pain, neck pain, headache, photo/phonophobia The craniocervical junction appears within normal limits. Vertebral body heights in the cervical, thoracic, and lumbar spine are normal. Disc spaces are preserved. Alignment is maintained. No evidence of epidural hematoma or fluid collections in the paraspinous soft tissues are appreciated. No cord signal abnormality. There is diffuse engorgement of the epidural venous plexus in the cervical, thoracic, and lumbar spine. No significant spinal canal or neural foraminal stenosis is appreciated. Paraspinous soft tissues are grossly unremarkable.
No findings to suggest epidural hematoma or fluid collection in the paraspinous tissues to suggest a CSF leak. No significant spinal canal stenosis. There is diffuse prominence/engorgement of the epidural venous plexus in the cervical, thoracic, and lumbar spine which can be seen post lumbar puncture/with intracranial hypotension. Brain MRI can be considered as clinically indicated although no evidence of brain sagging based on the limited visualization of the posterior fossa.