Dilation of spinal epidural veins caused by spontaneous intracranial hypotension - Case report

被引:7
|
作者
Nakahara, K
Iida, H
Mitomi, T
Ohsawa, S
Utsuki, S
Simizu, S
Fujii, K
机构
[1] Int Goodwill Hosp, Dept Neurosurg, Izumi Ku, Yokohama, Kanagawa 2450006, Japan
[2] Int Goodwill Hosp, Dept Neurol, Izumi Ku, Yokohama, Kanagawa 2450006, Japan
[3] Kitasato Univ, Sch Med, Dept Neurosurg, Sagamihara, Kanagawa 228, Japan
关键词
spontaneous intracranial hypotension; spinal angiography; extradural vein;
D O I
10.2176/nmc.45.404
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 30-year-old woman presented with headache which occurred when standing up from a recumbent position. Magnetic resonance (MR) imaging of the brain revealed slightly diffuse enhancement of the dura mater and two ventral extradural spinal flow voids in the supine position. Radionuclide cisternography identified cerebrospinal fluid leakage localized below the cervical level. Vertebral angiography demonstrated two dilated ventral extradural veins. The patient was treated by conservative therapy and improved with rest. The unusual clinical presentation with dilation of two epidural veins indicates the diagnostic value of MR imaging in cases of spontaneous intracranial hypotension.
引用
收藏
页码:404 / 406
页数:3
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