Successful endovascular treatment of a spontaneous dorsal cerebrospinal fluid venous fistula: A case report.

IF 1.5 4区 医学 Q4 CLINICAL NEUROLOGY
Cesar Augusto Ferreira Alves Filho, Filipi Fim Andreão, Plínio Gabriel Ferreira Lopes, Felippe Figueiredo Torres Ribeiro, Fausto Braga, Jose Alberto Almeida Filho, Paulo Niemeyer Filho, Elias Tanus
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引用次数: 0

Abstract

IntroductionSpontaneous cerebrospinal fluid (CSF) leaks, though rare, can cause significant neurological symptoms such as positional headaches and tinnitus, often due to thoracic spinal dural venous fistulas. This report describes a case of a dorsal spinal CSF venous fistula with symptom improvement after endovascular treatment.MethodsFollowing the CARE guidelines, key clinical data, including imaging, intervention, and follow-up outcomes, were collected. Informed consent was obtained.Case PresentationA 42-year-old female with a one-year history of positional headaches and tinnitus showed a CSF collection from D1 to D6 on imaging, with a suspected fistula at D5-D6. Conservative treatments failed, and the patient underwent endovascular embolization at D6, resulting in symptom improvement. Subsequent imaging identified a minor leak at L2, managed with follow-up. By January 2024, her headaches had resolved, and she resumed physical activities without recurrence.ConclusionThis case highlights the effectiveness of endovascular embolization for treating CSF venous fistulas, achieving significant symptom relief and returning to normal activities. Early diagnosis, imaging, and intervention are essential for managing these leaks and preventing complications, with regular follow-up critical for long-term recovery.

自发性脑脊液背侧静脉瘘血管内治疗成功1例。
自发性脑脊液(CSF)渗漏虽然罕见,但可引起明显的神经系统症状,如体位性头痛和耳鸣,通常是由胸椎硬脊膜静脉瘘引起的。本文报告一例经血管内治疗后症状改善的脊脊液静脉瘘。方法按照CARE指南收集关键临床资料,包括影像学、干预和随访结果。获得知情同意。42岁女性,体位性头痛和耳鸣病史1年,影像学显示D1至D6脑脊液采集,D5-D6疑似瘘管。保守治疗失败,患者于D6行血管内栓塞术,症状得到改善。随后的成像发现L2处有一个小泄漏,并进行了随访。到2024年1月,她的头痛已经解决,她恢复了体育活动,没有复发。结论本病例强调了血管内栓塞治疗脑脊液静脉瘘的有效性,症状明显缓解,恢复正常活动。早期诊断、成像和干预对于管理这些渗漏和预防并发症至关重要,定期随访对长期恢复至关重要。
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来源期刊
Interventional Neuroradiology
Interventional Neuroradiology CLINICAL NEUROLOGY-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
CiteScore
3.60
自引率
11.80%
发文量
192
审稿时长
6-12 weeks
期刊介绍: Interventional Neuroradiology (INR) is a peer-reviewed clinical practice journal documenting the current state of interventional neuroradiology worldwide. INR publishes original clinical observations, descriptions of new techniques or procedures, case reports, and articles on the ethical and social aspects of related health care. Original research published in INR is related to the practice of interventional neuroradiology...
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