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Spontaneous spinal CSF-venous fistulas associated with venous/venolymphatic vascular malformations: report of 3 cases.
- Source :
-
Journal of neurosurgery. Spine [J Neurosurg Spine] 2019 Nov 01; Vol. 32 (2), pp. 305-310. Date of Electronic Publication: 2019 Nov 01 (Print Publication: 2020). - Publication Year :
- 2019
-
Abstract
- Spontaneous CSF-venous fistulas may be present in up to one-fourth of patients with spontaneous intracranial hypotension. This is a recently discovered type of CSF leak, and much remains unknown about these fistulas. Spinal CSF-venous fistulas are usually seen in coexistence with a spinal meningeal diverticulum, suggesting the presence of an underlying structural dural weakness at the proximal portion of the fistula. The authors now report the presence of soft-tissue venous/venolymphatic malformations associated with spontaneous spinal CSF-venous fistulas in 2 patients with spontaneous intracranial hypotension, suggesting a role for distal venous pathology. In a third patient with spontaneous intracranial hypotension and a venolymphatic malformation, such a CSF-venous fistula is strongly suspected.
- Subjects :
- Adult
Cerebrospinal Fluid Leak complications
Cerebrospinal Fluid Leak diagnosis
Female
Fistula cerebrospinal fluid
Fistula complications
Fistula diagnosis
Humans
Intracranial Hypotension complications
Intracranial Hypotension diagnosis
Male
Middle Aged
Myelography methods
Spine surgery
Vascular Malformations diagnosis
Veins surgery
Cerebrospinal Fluid Leak surgery
Intracranial Hypotension surgery
Vascular Malformations complications
Vascular Malformations surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1547-5646
- Volume :
- 32
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of neurosurgery. Spine
- Publication Type :
- Report
- Accession number :
- 31675703
- Full Text :
- https://doi.org/10.3171/2019.8.SPINE19716