To the Editor:—
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