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The clue is in the kidneys: Greater renal contrast accumulation on ipsilateral side down CT myelogram after lateral decubitus digital subtraction myelogram as a predictor of laterality of cerebrospinal fluid leak

ScienceDirect

Publication date: Available online 9 May 2023 Source: Clinical Radiology Author(s): Sagar Wagle, John C. Benson, Ajay A. Madhavan, Carrie M. Carr, Ivan Garza, Felix E. Diehn, Dong Kun Kim

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REBEL Core Cast 107.0 – Vertebral Osteomyelitis

REBEL EM

Take Home Points Clinical presentation is very nonspecific; evaluate all patients presenting with back pain for infectious risk factors. MRI is key to diagnosis, obtain this imaging in all patients who raise clinical suspicion Patients with hemodynamic instability and neurologic compromise warrant empiric antibiotics. 7 th ed.

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