Cerebrospinal fluid-lymphatic fistula causing spontaneous intracranial hypotension in a child with kaposiform lymphangiomatosis
| Autor: | William P. Dillon, Vinil Shah, Karl A. Soderlund, Jarod L. Roland, Mark D. Mamlouk |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Fistula Spontaneous intracranial hypotension Intracranial Hypotension Case Report Cardiovascular Paediatrics and Reproductive Medicine Cerebrospinal fluid medicine Humans Radiology Nuclear Medicine and imaging Child Lymphangiomatosis Myelography Neuroradiology Cerebrospinal Fluid Leak medicine.diagnostic_test Cerebrospinal fluid leak business.industry Neurosciences medicine.disease Cerebrospinal fluid-lymphatic fistula Magnetic Resonance Imaging Spine Surgery Nuclear Medicine & Medical Imaging Lymphatic system Lymphatic anomaly Kaposiform lymphangiomatosis Pediatrics Perinatology and Child Health Female Headaches medicine.symptom business |
| Zdroj: | Pediatric Radiology Pediatric radiology, vol 51, iss 11 |
| ISSN: | 1432-1998 0301-0449 |
| Popis: | Spontaneous intracranial hypotension is an uncommon etiology of secondary headaches in children. We report a unique case of a girl with kaposiform lymphangiomatosis who developed postural headaches and imaging features of spontaneous intracranial hypotension without a spinal extradural collection. The girl underwent dynamic computed tomography myelography which revealed a cerebrospinal fluid (CSF)-lymphatic fistula related to a lymphatic malformation associated with the right T10 nerve. She underwent surgical ligation of the CSF-lymphatic fistula, resulting in resolution of the headaches. Spinal CSF-lymphatic fistulas are rare and have previously been reported in two patients with Gorham-Stout disease. The current report suggests that patients with systemic lymphatic anomalies who develop postural headaches should undergo evaluation for spontaneous intracranial hypotension and a CSF-lymphatic fistula. If discovered, surgical ligation is a potential treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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