James Bullen
speaker
1,082 appearances
27 recordings
1 series
first heard Nov 2017
last heard Feb 2020
James Bullen’s voice in public audio — every appearance, attributed to the second.
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Appearances
It affects women twice as often.
as often as men.
A spontaneous leak is what Sophie experienced.
Doctor Scott Davies is a neuroradiologist with the Neurological Intervention and Imaging Service of Western Australia.
While the headache is a common feature, patients can present with all sorts of other symptoms.
Doctor Davies stresses that it's difficult to pinpoint and it varies from patient to patient.
It's often unclear what prompts a spontaneous CSF leak.
Sometimes the membrane protecting the spinal cord, which is called the Jura, is thinner and weaker than usual.
The Jura rips and CSF leaks out.
In other cases, bone spurs around the spine tear a hole in the juror.
To diagnose a leak, doctors usually start with an MRI brain, a scan which sometimes is able to look at the pressure in the brain.
From there, an MRI scan of the spine may be ordered, including something called a CT myelogram, where contrast is injected into the spinal column which might be able to trace the leak.
Even with these tests, the leak doesn't always show up on a scan.
Once one is diagnosed though, or at least strongly suspected, there are a few treatment options.
The first is a blood patch, where blood is drawn out of the body and then injected into a space between the spine and the juror, in the hope it will clot and block the leak.
Another option is a fibrin glue patch.
It has the same aim, blocking the leak, just a different material.
Both of these can be used as a diagnostic test as well to see whether putting the patch in place makes any difference to the symptoms.
A fibrin glue patch is what Sophie went with.
Sometimes the patch is the end of the story, but for Sophie it only lasted a few weeks.
Showing 181–200 of 1,082 · page 10 of 55
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