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Following a myelogram a patient developed postlumbar puncture headache which was incapacitating and persistent 18 weeks after onset. Scans of the lumbar spine were performed 2 hours and 20 hours after iodinated I 131 serum albumin (Risa-131) was injected through a cisterna magna puncture. These demonstrated and localized a functioning cerebrospinal fluid leak through the dura. Surgical repair of the dural hole was made with prompt cure of the syndrome.
Harvey Gass (Sun,) studied this question.