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Konovalov An.N.

Burdenko Neurosurgical Center

Grebenev F.V.

Burdenko Neurosurgical Center

Asyutin D.S.

Burdenko Neurosurgical Center

Zakirov B.A.

Burdenko Neurosurgical Center

Konovalov N.A.

Burdenko Neurosurgical Center

Pronin I.N.

Burdenko Neurosurgical Center

Eliava Sh.Sh.

Burdenko Neurosurgical Center

Spontaneous dural CSF fistula as a cause of intracranial hypotension syndrome. Case report and literature review

Authors:

Konovalov An.N., Grebenev F.V., Asyutin D.S., Zakirov B.A., Konovalov N.A., Pronin I.N., Eliava Sh.Sh.

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Journal: Burdenko's Journal of Neurosurgery. 2023;87(2): 63‑70

DOI: 10.17116/neiro20238702163

Views: 1749

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To cite this article:

Konovalov AnN, Grebenev FV, Asyutin DS, Zakirov BA, Konovalov NA, Pronin IN, Eliava ShSh. Spontaneous dural CSF fistula as a cause of intracranial hypotension syndrome. Case report and literature review. Burdenko's Journal of Neurosurgery. 2023;87(2):63‑70. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20238702163

 
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Typical symptoms of spontaneous intracranial hypotension syndrome are severe headache, weakness, dizziness and inability to stay upright for a long time. Most often, this syndrome occurs due to CSF fistula in spinal space. Pathophysiology and diagnosis of this disease are poorly known for neurologists and neurosurgeons that can complicate timely surgical care. In case of correct diagnosis, we can identify the exact location of CSF fistula in 90% of cases. Treatment eliminates symptoms of intracranial hypotension and provides functional recovery. The purpose of this article is to describe the diagnostic algorithm and successful microsurgical treatment of a patient with spinal dural CSF fistula Th3-Th4 through posterolateral transdural approach.

Keywords:

dural CSF fistula
spontaneous intracranial hypotension syndrome

Authors:

Konovalov An.N.

Burdenko Neurosurgical Center

Grebenev F.V.

Burdenko Neurosurgical Center

Asyutin D.S.

Burdenko Neurosurgical Center

Zakirov B.A.

Burdenko Neurosurgical Center

Konovalov N.A.

Burdenko Neurosurgical Center

Pronin I.N.

Burdenko Neurosurgical Center

Eliava Sh.Sh.

Burdenko Neurosurgical Center

Received:

01.12.2022

Accepted:

27.01.2023

List of references:

  1. Schievink WI, Maya MM, Jean-Pierre S, Nuño M, Prasad RS, Moser FG. A classification system of spontaneous spinal CSF leaks. Neurology. 2016;87(7):673-679.  https://doi.org/10.1212/WNL.0000000000002986
  2. Kranz PG, Gray L, Amrhein TJ. Spontaneous Intracranial Hypotension: 10 Myths and Misperceptions. Headache. 2018;58(7):948-959.  https://doi.org/10.1111/head.13328
  3. Farb RI, Nicholson PJ, Peng PW, Massicotte EM, Lay C, Krings T, terBrugge KG. Spontaneous Intracranial Hypotension: A Systematic Imaging Approach for CSF Leak Localization and Management Based on MRI and Digital Subtraction Myelography. American Journal of Neuroradiology. 2019;40(4):745-753.  https://doi.org/10.3174/ajnr.A6016
  4. Konovalov AnN, Vinogradov EV, Grebenev FV, Batalov AI, Shevchenko KV, Pronin IN, Konovalov NA. Spinal CSF-venous fistula: case report and literature review. Burdenko’s Journal of Neurosurgery. 2022;86(3):41-49. (In Russ.). https://doi.org/10.17116/neiro20228603141
  5. Konovalov A, Gadzhiagaev V, Vinogradov E, Nikitin N, Eliava S, Konovalov N. Surgical Treatment Efficacy of CSF-Venous Fistulas: Systematic Review. World Neurosurgery. 2022;161:91-96.  https://doi.org/10.1016/j.wneu.2022.02.036
  6. Wheeler SG, Wipf JE, Staiger TO, Deyo RA, Park L. Spontaneous intracranial hypotension: Pathophysiology, clinical features, and diagnosis. Up To Date. 2016;(table 2):8-10. 
  7. Schievink WI, Maya MM, Louy C. Cranial MRI predicts outcome of spontaneous intracranial hypotension. Neurology. 2005;64(7):1282-1284. https://doi.org/10.1212/01.WNL.0000156906.84165.C0
  8. D’Antona L, Jaime Merchan MA, Vassiliou A, Watkins LD, Davagnanam I, Toma AK, Matharu MS. Clinical Presentation, Investigation Findings, and Treatment Outcomes of Spontaneous Intracranial Hypotension Syndrome: A Systematic Review and Meta-analysis. JAMA Neurology. 2021;78(3):1-9.  https://doi.org/10.1001/jamaneurol.2020.4799
  9. Kim DK, Brinjikji W, Morris PP, Diehn FE, Lehman VT, Liebo GB, Morris JM, Verdoorn JT, Cutsforth-Gregory JK, Farb RI, Benson JC, Carr CM. Lateral Decubitus Digital Subtraction Myelography: Tips, Tricks, and Pitfalls. American Journal of Neuroradiology. 2020;41(1):21 LP-28.  https://doi.org/10.3174/ajnr.A6368
  10. Kranz PG, Amrhein TJ, Gray L. CSF Venous Fistulas in Spontaneous Intracranial Hypotension: Imaging Characteristics on Dynamic and CT Myelography. American Journal of Roentgenology. 2017;209(6):1360-1366. https://doi.org/10.2214/AJR.17.18351
  11. Angevine PD, Kellner C, Haque RM, McCormick PC. Surgical management of ventral intradural spinal lesions. Journal of Neurosurgery: Spine. 2011;15(1):28-37.  https://doi.org/10.3171/2011.3.SPINE1095
  12. Wilson D, Christie J, Ferch R. Successful surgical treatment of intractable spontaneous intracranial hypotension due to a calcified thoracic disc prolapse. Journal of Clinical Neuroscience. 2013;20(12):1773-1775. https://doi.org/10.1016/j.jocn.2013.02.008
  13. Beck J, Raabe A, Schievink WI, Fung C, Gralla J, Piechowiak E, Seidel K, Ulrich CT. Posterior Approach and Spinal Cord Release for 360° Repair of Dural Defects in Spontaneous Intracranial Hypotension. Clinical Neurosurgery. 2019;84(6):345-351.  https://doi.org/10.1093/neuros/nyy312
  14. Wilson D, Steel T, Sutton I. Surgical treatment of cervical disc protrusion causing intracranial hypotension following chiropractic manipulation. Journal of Clinical Neuroscience. 2015;22(9):1523-1525. https://doi.org/10.1016/j.jocn.2015.03.017
  15. Rapoport BI, Hartl R, Schwartz TH. Cranial neuropathy due to intradural disc herniation. Neurosurgery. 2014;74(5):561-565.  https://doi.org/10.1227/NEU.0000000000000315
  16. Pricola Fehnel K, Borges LF. Posterior thoracic laminoplasty with dorsal, intradural identification of ventral defect and transdural discectomy for a spontaneous cerebrospinal fluid leak: case report. Journal of Neurosurgery: Spine. 2015;22(5):478-482.  https://doi.org/10.3171/2014.10.SPINE14439

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