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Case report of a cervical myelomalacia caused by a thoracolumbar intradural disc herniation leading to intracranial hypotension
- Source :
- Journal of Neurology
- Publication Year :
- 2020
- Publisher :
- Springer Berlin Heidelberg, 2020.
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 14321459 and 03405354
- Volume :
- 267
- Issue :
- 11
- Database :
- OpenAIRE
- Journal :
- Journal of Neurology
- Accession number :
- edsair.doi.dedup.....0f5d4ea2d6dca590c43ce8920f703217