[Spontaneous dural CSF fistula as a cause of intracranial hypotension syndrome. Case report and literature review].

Autor: Konovalov AN; Burdenko Neurosurgical Center, Moscow, Russia., Grebenev FV; Burdenko Neurosurgical Center, Moscow, Russia., Asyutin DS; Burdenko Neurosurgical Center, Moscow, Russia., Zakirov BA; Burdenko Neurosurgical Center, Moscow, Russia., Konovalov NA; Burdenko Neurosurgical Center, Moscow, Russia., Pronin IN; Burdenko Neurosurgical Center, Moscow, Russia., Eliava SS; Burdenko Neurosurgical Center, Moscow, Russia.
Jazyk: English; Russian
Zdroj: Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko [Zh Vopr Neirokhir Im N N Burdenko] 2023; Vol. 87 (2), pp. 63-70.
DOI: 10.17116/neiro20238702163
Abstrakt: Typical symptoms of spontaneous intracranial hypotension syndrome are severe headache, weakness, dizziness and inability to stay upright for a long time. Most often, this syndrome occurs due to CSF fistula in spinal space. Pathophysiology and diagnosis of this disease are poorly known for neurologists and neurosurgeons that can complicate timely surgical care. In case of correct diagnosis, we can identify the exact location of CSF fistula in 90% of cases. Treatment eliminates symptoms of intracranial hypotension and provides functional recovery. The purpose of this article is to describe the diagnostic algorithm and successful microsurgical treatment of a patient with spinal dural CSF fistula Th3-Th4 through posterolateral transdural approach.
Databáze: MEDLINE