Spontaneous intracranial hypotension resulting from a thoracic osteophyte. Issue 6 (June 2015)

• Record Type: Journal Article
• Authors: Hung, Ling-Chien; Hsu, Yung-Chu
• Is Part Of: Journal of clinical neuroscience. Volume 22:Issue 6(2015:Jun.)
• Page Start: 1054
• Page End: 1056
• Publication Date: 2015-06
• Subjects: Brain -- Surgery -- Periodicals; Neurosciences -- Periodicals; Nervous system -- Surgery -- Periodicals; Brain -- surgery -- Periodicals; Neurosurgical Procedures -- Periodicals; Neurosciences -- Periodicals; Electronic journals; 616.8
• DOI: 10.1016/j.jocn.2014.12.010
• Languages: English
• ISSNs: 0967-5868

Abstract

<abstract xml:lang="en" abstract-type="author" id="ab005"> <title id="st040">Abstract</title> <sec> <p id="sp0005">We report a 34-year-old woman who presented with progressive postural headache and neck tightness over 1 week. We confirmed the diagnosis of spontaneous intracranial hypotension (SIH) and spinal images showed a thoracic osteophyte caused the cerebrospinal fluid (CSF) leak. SIH caused by spinal CSF leak is generally thought to be a consequence of deficiency of the spinal meninges in conjunction with trivial trauma. Less commonly, spinal bony pathology can lead to SIH. We reviewed 13 reported patients with bony structural pathology related SIH. After two to three epidural blood patches, eight patients underwent surgery. They generally had good outcomes. In conclusion, even though surgical repair confers specific risks, it should be considered after repetitive failures of epidural blood patches. The long-term prognoses of surgical <italic>versus</italic> non-surgical patients warrants further investigation.</p> </sec> </abstract>