Paroxysmal radiculopathy associated to raised CSF pressure in a patient with spinal meningeal cysts

Autor: P. Ortiz-Sánchez, L.G. González-Bonet, C. Barcia-Mariño
Rok vydání: 2011
Předmět:
Zdroj: Clinical Neurology and Neurosurgery. 113:332-334
ISSN: 0303-8467
DOI: 10.1016/j.clineuro.2010.12.008
Popis: Spinal meningeal cysts are diverticula of the meningeal sac, erve root sheath or arachnoid. Their spinal localization varies, and ight be extradural with orwithout nerve root fibers, or intradural 1]. These cysts can be asymptomatic or cause radiculopathy or yelopathy by exerting pressure near the spinal cord and nerve oots. There is a different form of presentation associated with aised intracranial pressure (ICP) [2]. Herein, we show that raised ressure occurs with Valsalva maneuvers or postural changes. We resent a case of paroxysmal radiculopathywith fasciculations and rises of back pain caused by this pathological pressure. We proose a method to diagnose and treat this rare clinical presentation f spinal meningeal cysts, and suggest its pathophysiology.
Databáze: OpenAIRE