1.
Acta Neurochir (Wien)
; 166(1): 37, 2024 Jan 26.
Artículo
en Inglés
| MEDLINE
| ID: mdl-38277029
RESUMEN
CSF-venous fistulas (CVFs) are increasingly recognised as a cause of spontaneous intracranial hypotension. They may present atypically including with brain sagging pseudo-dementia. Cervical CVFs are rare and their management can be difficult due to associated eloquent nerve roots. We report the case of a 49-year-old woman who presented with cognitive decline progressing to coma. Brain imaging showed features of spontaneous intracranial hypotension and a right C7 CVF was identified at digital subtraction and CT myelography. Initial treatment with CT-guided injection of fibrin sealant produced temporary improvement in symptoms before surgical treatment resulted in total clinical remission and radiological resolution.
Asunto(s)
Ascomicetos , Fístula , Hipotensión Intracraneal , Femenino , Humanos , Persona de Mediana Edad , Pérdida de Líquido Cefalorraquídeo , Coma/etiología , Fístula/complicaciones , Hipotensión Intracraneal/complicaciones , Hipotensión Intracraneal/diagnóstico por imagen , Hipotensión Intracraneal/terapia , Mielografía/métodos , Tomografía Computarizada por Rayos X
2.
J Neurol Sci
; 416: 116980, 2020 09 15.
Artículo
en Inglés
| MEDLINE
| ID: mdl-32574902