case_images: PMC3644793_01
case_images: (a) Post gadolinium contrast enhanced axial T1-weighted Magnetic resonance imaging of the brain shows diffuse non-nodular enhancement and thickening of the pachymeninges. (b) Post gadolinium contrast enhanced coronal T1-weighted Magnetic resonance imaging of the brain shows diffuse non-nodular enhancement and thickening of the pachymeninges
case_images: AIAN-16-94-g001.jpg
case_images: PMC3644793_01_AIAN-16-94-g001.jpg
case_images: F1
case_images: MRI brain showed prominence of cortical veins and significant distension of dural venous sinuses raising the possibility of pachymeningitis without venous sinus thrombosis [Figure 1a,b].
case_images: Radionuclide cisternography reveals cerebrospinal fluid leak at C6/7 level on right side paucity of activity in cerebral convexity, slow ascent of radionuclide along the spinal axis and early accumulation of the radionuclide in kidneys and urinary bladder
case_images: AIAN-16-94-g002.jpg
case_images: PMC3644793_01_AIAN-16-94-g002.jpg
case_images: F2
case_images: A radionuclide cisternography showed CSF leak at the junction of cervical 5 and cervical 6 (C6/ C7) vertebrae [Figure 2].
case_images: Follow up Magnetic resonance imaging of the brain shows acute subdural haemorrhage bilaterally susceptibility weighted images
case_images: AIAN-16-94-g003.jpg
case_images: PMC3644793_01_AIAN-16-94-g003.jpg
case_images: F3
case_images: A repeat MRI brain showed bilateral subdural hematoma (SDH) [Figure 3].