Syrinx in spontaneous intracranial hypotension treated by surgical disconnection of CSF venous fistula.

IF 2.3 Q2 CLINICAL NEUROLOGY

PRACTICAL NEUROLOGY Pub Date : 2025-09-02 DOI:10.1136/pn-2025-004683

David Rowland, Dwij Mehta, Ayman Qureshi, Indran Davagnanam, Ahmed K Toma, Parag Sayal, Manjit Matharu

引用次数: 0

Abstract

A 49-year-old woman developed symptoms of syringomyelia 3 years after having presented with spontaneous intracranial hypotension (SIH). She had previously undergone two unsuccessful non-targeted epidural blood patches. The MR scan showed features of cervicothoracic syringomyelia and ongoing intracranial features of SIH. Following two further ineffective non-targeted epidural blood patches, a cerebrospinal fluid venous fistula was identified on myelography, which was surgically disconnected. At subsequent follow-up, she showed marked and progressive clinical and radiological improvement. This case shows that offering curative treatment for the underlying cause of SIH is an effective-and the preferred-way of managing SIH-associated syrinx.

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脑脊液静脉瘘切断术治疗自发性颅内低血压并发鼻音。

一名49岁女性在出现自发性颅内低血压（SIH） 3年后出现脊髓空洞症状。她之前接受过两次不成功的非靶向硬膜外血液修补。磁共振扫描显示颈胸脊髓空洞的特征和持续的SIH颅内特征。在进一步两次无效的非靶向硬膜外血液贴片后，脊髓造影发现脑脊液静脉瘘，并通过手术将其断开。在随后的随访中，她的临床和放射学表现出明显的进展性改善。本病例表明，为SIH的根本原因提供根治性治疗是治疗SIH相关注射器的有效和首选方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

PRACTICAL NEUROLOGY Medicine-Neurology (clinical)

CiteScore

3.70

自引率

3.60%

发文量

113

期刊介绍： The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.