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Titolo:
Pseudo Chiari type I malformation secondary to cerebrospinal fluid leakage
Autore:
Samii, C; Mobius, E; Weber, W; Heienbrok, HW; Berlit, P;
Indirizzi:
AlfriedGermanyKrankenhaus, Dept Neurol & Clin Neurophysiol, D-45117 Essen,Alfried Krupp Krankenhaus Essen Germany D-45117 ophysiol, D-45117 Essen, AlfriedyKrupp Krankenhaus, Dept Radiol & Neuroradiol, D-45117 Essen, German Alfried Krupp Krankenhaus Essen Germany D-45117 l, D-45117 Essen, German Alfried Krupp Krankenhaus, Dept Neurosurg, D-45117 Essen, Germany Alfried Krupp Krankenhaus Essen Germany D-45117 , D-45117 Essen, Germany
Titolo Testata:
JOURNAL OF NEUROLOGY
fascicolo: 3, volume: 246, anno: 1999,
pagine: 162 - 164
SICI:
0340-5354(199903)246:3<162:PCTIMS>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRACRANIAL HYPOTENSION;
Keywords:
cerebrospinal fluid (CSF) leakage; postural headache; intracranial hypotension; pseudo-chiari type-I malformation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
7
Recensione:
Indirizzi per estratti:
Indirizzo: Samii, C Alfriedtrrupp Krankenhaus, Dept Neurol & Clin Neurophysiol, Alfried Krupp S Alfried Krupp Krankenhaus Alfried Krupp Str 21 Essen Germany D-45117
Citazione:
C. Samii et al., "Pseudo Chiari type I malformation secondary to cerebrospinal fluid leakage", J NEUROL, 246(3), 1999, pp. 162-164

Abstract

Cerebrospinal fluid (CSF) leakage may occur spontaneously, iatrogenically or from spinal trauma. Postural headache is the cardinal symptom; dizziness, diminished hearing, nausea and vomiting are additional symptoms. In neurological examinations cranial nerve palsies may be found. Due to low CSF pressure neuroimaging studies may reveal dural enhancement and vertical displacement of the brain. We describe a patient with the history of an uncomplicated lumbar discectomy at the level L4-5 and the typical clinical symptoms of intracranial hypotension. MRI of the craniocervical junction schowed typical features of a Chiari type-I malformation. After neurosurgical ligationof a CSF leak at L4-5 caused by lumbar disc surgery, the patient was free of orthostatic headache. A repeated MRI showed a striking reduction of the previous downward displacement of the cerebellar tonsils and pons.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/01/20 alle ore 01:24:19