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
{"title":"Successful endovascular treatment of a spontaneous dorsal cerebrospinal fluid venous fistula: A case report.","authors":"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","doi":"10.1177/15910199251339544","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":49174,"journal":{"name":"Interventional Neuroradiology","volume":" ","pages":"15910199251339544"},"PeriodicalIF":1.5000,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075149/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Interventional Neuroradiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/15910199251339544","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
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.
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...