Diffuse non-aneurysmal SAH in spontaneous intracranial hypotension: Sequela of ventral CSF leak?

Cephalalgia : an International Journal of Headache
Wouter I Schievink, M Marcel Maya

Abstract

Spontaneous intracranial hypotension due to a spinal cerebrospinal fluid (CSF) leak has become a well-recognized cause of headaches. Recently, various unusual neurological syndromes have been described in such patients with chronic ventral CSF leaks, including superficial siderosis and an amyotrophic lateral sclerosis-like syndrome. The authors now report two patients with spontaneous intracranial hypotension due to a chronic ventral CSF leak who suffered a diffuse non-aneurysmal subarachnoid hemorrhage (SAH). A 62-year-old woman underwent uneventful microsurgical repair of a ventral thoracic CSF leak that had been present for 13 years. Seventeen months after surgery, she was found unresponsive and CT showed a diffuse intracranial SAH. Cerebral angiography and spine and brain MRI did not reveal a source of the SAH. A 73-year-old woman was found unresponsive and CT showed a diffuse intracranial SAH. Cerebral angiography and brain MRI did not reveal a source of the SAH, although superficial siderosis was detected. Spine MRI showed a ventral thoracic CSF leak that by history had been present for 41 years. She underwent uneventful microsurgical repair of the CSF leak. The authors suggest that patients with a ventral spinal CSF leak...Continue Reading

References

May 18, 2006·JAMA : the Journal of the American Medical Association·Wouter I Schievink
Feb 16, 2007·Headache·Wouter I SchievinkCharles Louy
Mar 15, 2011·Journal of Neurosurgery·Wouter I Schievink, M Marcel Maya
Jun 13, 2012·Neurology·Neeraj Kumar
Nov 6, 2012·Journal of Neurosurgery. Spine·Wouter I SchievinkHart C M Cohen
Dec 10, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Walavan SivakumarWilliam T Couldwell

❮ Previous
Next ❯

Citations

Jan 4, 2017·Neuromodulation : Journal of the International Neuromodulation Society·Timothy R DeerNagy Mekhail
Mar 9, 2019·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Valentina OppoMaurizio Melis
Jun 27, 2020·Neurocritical Care·Kristen M ScheitlerEelco F Wijdicks
Jul 4, 2020·The Neurologist·Gonçalo VideiraCarlos Andrade
Jan 28, 2021·The International Journal of Neuroscience·Ya CaoShengyuan Yu
Apr 17, 2021·Annals of Neurology·Neeraj Kumar

❮ Previous
Next ❯

Related Concepts

Related Feeds

Amyloid Lateral Sclerosis

Amyotrophic Lateral Sclerosis (ALS) is a progressive nervous system disease associated with the death of neurons that control voluntary muscles. Discover the latest research on ALS here.

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.