Case report of a cervical myelomalacia caused by a thoracolumbar intradural disc herniation leading to intracranial hypotension
| Autor: | M. Ueberschaer, Jörg C. Tonn, J. Schwarting, K. Mueller, Maximilian Patzig, R. Trabold |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Leak
medicine.medical_specialty Neurology Letter to the Editors 03 medical and health sciences 0302 clinical medicine Case report medicine Spinal canal CSF leak Intracranial Hypotension Neuroradiology business.industry medicine.disease Intradural disc herniation Hydrocephalus Surgery Stenosis medicine.anatomical_structure 030220 oncology & carcinogenesis cardiovascular system Neurology (clinical) business Myelomalacia Intracranial hypotension 030217 neurology & neurosurgery |
| Zdroj: | Journal of Neurology |
| ISSN: | 1432-1459 0340-5354 |
| Popis: | A 50-year-old patient was admitted with symptoms of intracranial hypotension. MRI revealed a cervical myelomalacia caused by engorged epidural veins leading to a stenosis of the spinal canal. This condition is rarely described in patients with hydrocephalus and ventricular shunts suffering from chronic overdrainage. However, the reason in this patient was a CSF leak caused by an intradural disc herniation at T12/L1. After surgery, symptoms resolved and the cervical myelomalacia and the swollen epidural veins disappeared on postoperative MRI. In patients with engorged cervical epidural veins without a ventricular shunt, a CSF leak has to be considered. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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