Spontaneous intracranial hypotension resulting from a thoracic osteophyte

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Ling-Chien Hung, Yung-Chu Hsu

Abstract

We report a 34-year-old woman who presented with progressive postural headache and neck tightness over 1week. We confirmed the diagnosis of spontaneous intracranial hypotension (SIH) and spinal images showed a thoracic osteophyte caused the cerebrospinal fluid (CSF) leak. SIH caused by spinal CSF leak is generally thought to be a consequence of deficiency of the spinal meninges in conjunction with trivial trauma. Less commonly, spinal bony pathology can lead to SIH. We reviewed 13 reported patients with bony structural pathology related SIH. After two to three epidural blood patches, eight patients underwent surgery. They generally had good outcomes. In conclusion, even though surgical repair confers specific risks, it should be considered after repetitive failures of epidural blood patches. The long-term prognoses of surgical versus non-surgical patients warrants further investigation.

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Citations

Feb 26, 2016·Clinical Neurology and Neurosurgery·Kamyar SartipStephen Grahovac
Oct 16, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Kyle A Smith
Oct 4, 2016·Journal of Neurosciences in Rural Practice·Rajendra V PhadkeSunil Kumar
Jan 7, 2017·World Neurosurgery·Declan G SiedlerNova B Thani
Feb 14, 2017·World Neurosurgery·Benjamin DavidsonMark Bernstein
Jan 26, 2017·Case Reports in Medicine·Stergios TzikasVassilios Vassilikos
May 29, 2021·Continuum : Lifelong Learning in Neurology·Shuu-Jiun Wang
Oct 8, 2021·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Sami ObaidSung-Joo Yuh

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