Very interesting. Our recent study also suggests that there may be a link between long covid and endothelial dysfunction:
Andrew L Callen MD
889 posts
Andrew L Callen MD
@AndrewCallenMD
Associate Professor, Neuroradiology and Neurology - Director, CU CSF Leak Program - University of Colorado Anschutz Medical Campus - Alumni: UCSF - #CSFLeak
- Lumbar puncture with a ventral through and through 1-2 mm dural tear resulting in years of leak suffering for this patient. Very challenging dynamic CTM and surgical localization - a good reminder to please use the smallest, non cutting spinal needles possible if an LP is needed
GIF- #SIH due to a dural tear after chiropractic manipulation. MRI: sag and an extradural collection (green). Dynamic CT myelography: ventral dural defect (yellow) 2/2 osteophyte (red). We took a TRANSDELTOID approach to the ventral epidural space for fibrin glue patch. @AsheshThaker
- We all love seeing the #CVF drain into the paraspinal segmental vein for that "classic" look, but don't forget about the internal epidural venous plexus! Looks like a "dot" on axials and can be easily overlooked but coronals can be your friend.
- Spent Black Friday performing Colorado's first endovascular occlusion of a CSF venous fistula with Dr. Adam Schwertner at @DenverHealthMed. Grateful to @WBrinjikji for pioneering this technique for our patients. #SIH
- Replying to @dickiebushI let them randomly percolate to the front of my attention by anxiety and chance.
- Learned today of my promotion to Associate Professor! I’m so grateful to my many mentors who helped make this possible, including but not limited to: @CMGlastonbury @williamdillonmd @vinil_shah @JaredNarvid @jf_talbott @DrIanCarroll @jodytanabe
- Phase 2 feasibility testing and phantom scanning prior to clinical implementation of our dynamic CT myelography patient positioning device. My goal is to increase reproducibility, sensitivity, and patient safety in dynamic CTM. #SIH
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- Happy to share our new @ajnr paper describing a novel positioning device for dynamic CTM CSF leak/fistula localization. Thank you to everyone who supported me and continue to support my #CSFleak obsession, particularly @jodytanabe and @CUneurorad.
- A remote labor epidural dural puncture was the cause of our patient's new daily persistent headache diagnosis over a decade later! Please always obtain a thorough history of any needle in your patient's back, no matter how remote: #CSFleak #PDPH …adachejournal.onlinelibrary.wiley.com/doi/10.1111/he…
- New @AJR_Radiology Accepted Manuscript: "Algorithmic Multimodality Approach to Diagnosis and Treatment of Spinal CSF Leak and Venous Fistula in Patients With Spontaneous Intracranial Hypotension" By Dr @AndrewCallenMD & team @CURadiology ajronline.org/doi/abs/10.221…
- Another #SIH patient told for years that his symptoms were all in his head. Turns out they were actually from a #CVF in his spine. @VincentTimpone @AsheshThaker @CUneurorad
GIF
