Case report of a cervical myelomalacia caused by a thoracolumbar intradural disc herniation leading to intracranial hypotension

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 chro...

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Detalles Bibliográficos
Autores principales: Ueberschaer, M., Patzig, M., Mueller, K., Schwarting, J., Trabold, R., Tonn, J.-C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2020
Materias:
Letter to the Editors
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7578122/
https://www.ncbi.nlm.nih.gov/pubmed/33011854
http://dx.doi.org/10.1007/s00415-020-10247-1
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author Ueberschaer, M.
Patzig, M.
Mueller, K.
Schwarting, J.
Trabold, R.
Tonn, J.-C.
author_facet Ueberschaer, M.
Patzig, M.
Mueller, K.
Schwarting, J.
Trabold, R.
Tonn, J.-C.
author_sort Ueberschaer, M.
collection PubMed
description 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.
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spelling pubmed-75781222020-10-27 Case report of a cervical myelomalacia caused by a thoracolumbar intradural disc herniation leading to intracranial hypotension Ueberschaer, M. Patzig, M. Mueller, K. Schwarting, J. Trabold, R. Tonn, J.-C. J Neurol Letter to the Editors 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. Springer Berlin Heidelberg 2020-10-03 2020 /pmc/articles/PMC7578122/ /pubmed/33011854 http://dx.doi.org/10.1007/s00415-020-10247-1 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Letter to the Editors
Ueberschaer, M.
Patzig, M.
Mueller, K.
Schwarting, J.
Trabold, R.
Tonn, J.-C.
Case report of a cervical myelomalacia caused by a thoracolumbar intradural disc herniation leading to intracranial hypotension
title Case report of a cervical myelomalacia caused by a thoracolumbar intradural disc herniation leading to intracranial hypotension
title_full Case report of a cervical myelomalacia caused by a thoracolumbar intradural disc herniation leading to intracranial hypotension
title_fullStr Case report of a cervical myelomalacia caused by a thoracolumbar intradural disc herniation leading to intracranial hypotension
title_full_unstemmed Case report of a cervical myelomalacia caused by a thoracolumbar intradural disc herniation leading to intracranial hypotension
title_short Case report of a cervical myelomalacia caused by a thoracolumbar intradural disc herniation leading to intracranial hypotension
title_sort case report of a cervical myelomalacia caused by a thoracolumbar intradural disc herniation leading to intracranial hypotension
topic Letter to the Editors
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7578122/
https://www.ncbi.nlm.nih.gov/pubmed/33011854
http://dx.doi.org/10.1007/s00415-020-10247-1
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