Raufay G. Abbasi , Daniel Hsu , Stephen Sozio , Jonathan Ferro , Sudipta Roychowdhury , Gaurav Gupta , Arevik Abramyan , Srihari Sundararajan
{"title":"A rare case of atraumatic CSF leak into brachial plexus elements","authors":"Raufay G. Abbasi , Daniel Hsu , Stephen Sozio , Jonathan Ferro , Sudipta Roychowdhury , Gaurav Gupta , Arevik Abramyan , Srihari Sundararajan","doi":"10.1016/j.sycrs.2024.100002","DOIUrl":null,"url":null,"abstract":"<div><p>We present the case of a patient with unexplained postural headaches who was found to have an atraumatic Cerebrospinal Fluid (CSF) leak from the foraminal and extraforaminal epidural spaces at the levels of C5-C6, C6-C7, C7-T1, and T1-T2, with contrast tracking along the brachial plexus elements as well as the bilateral scalene and paraspinal musculature. This is a rare presentation as the etiology was not connected to brachial plexus injury or surgical trauma but rather was a spontaneous occurrence. The patient was successfully treated with a CT-guided epidural blood patch that conferred complete resolution of the symptoms. We hope this case study offers clinical utility with the diagnosis and management of patients with orthostatic headaches.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"1 ","pages":"Article 100002"},"PeriodicalIF":0.0000,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000021/pdfft?md5=2b8a9575a4e00fecfcd130d8d6bfd1cb&pid=1-s2.0-S2950103224000021-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2950103224000021","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
We present the case of a patient with unexplained postural headaches who was found to have an atraumatic Cerebrospinal Fluid (CSF) leak from the foraminal and extraforaminal epidural spaces at the levels of C5-C6, C6-C7, C7-T1, and T1-T2, with contrast tracking along the brachial plexus elements as well as the bilateral scalene and paraspinal musculature. This is a rare presentation as the etiology was not connected to brachial plexus injury or surgical trauma but rather was a spontaneous occurrence. The patient was successfully treated with a CT-guided epidural blood patch that conferred complete resolution of the symptoms. We hope this case study offers clinical utility with the diagnosis and management of patients with orthostatic headaches.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
