We read with interest the case report by Albertin et al.  1regarding a spontaneous arachnoid postpartum leak and headache. In the case report, the authors state that the magnetic resonance imaging scanning was done without contrast because the patient was breast-feeding. However, current recommendations suggest that the use of radiographic contrast media is compatible with breast-feeding.2Although the proper diagnosis was made in the case by Albertin et al. , it is important for physicians to be aware of current recommendations regarding the safety of various medications during lactation to allow for optimal treatment options or, in this case, optimal imaging.

*Harvard Medical School, Brigham and Women’s Hospital, Boston, Massachusetts. wcamann@partners.org

1.
Albertin A, Marchetti C, Mamo D, Poli D, Dedola E: Intracranial hypotension: A case of spontaneous arachnoid rupture in a parturient. Anesthesiology 2006; 104:609–10
2.
Webb JA, Thomsen HS, Morkos SK, members of Contrast Media Safety Committee of European Society of Urogenital Radiology: The use of iodinated and gadolinium contrast media during pregnancy and lactation. Eur Radiol 2005; 15:1234–40
members of Contrast Media Safety Committee of European Society of Urogenital Radiology