Anterior horn cell loss from subdural hygroma: A consequence of spontaneous spinal fluid leak

Mihaylova, Temenuzhka; Biondo, Andrew; Zak, Imad; Lewis, Richard A.

doi:10.1016/j.jns.2011.02.029

Cited by 15 publications

(19 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Authors postulated that cervical anterior cord involvement was secondary to the mechanical compression by VLISFC. 6 In contrast to this pattern; our patient had distal brachial amyotrophy and subsequently developed intracranial hypovolemia. In a report in 2014, one among the three patients with upper limb amyotrophy had VLISFC, while another report with a case having asymmetric bilateral intrinsic hand and finger extensor muscle weakness had VLISFC secondary to spinal trauma.…”

Section: Discussioncontrasting

confidence: 58%

“…All the studies have reported CSF collection extending variably over a long stretch of the ventral extra-arachnoid space. [3][4][5][6][7][8] In comparison, our patient had relatively shorter collection extending from C6 to T3 level. Further, in all the reports the illness remained restricted to the spinal cord and none developed intracranial symptoms.…”

Section: Discussionmentioning

confidence: 92%

“…Presently there are 6 reports with 12 cases associating brachial amyotrophy with VLISFC. [3][4][5][6][7][8] In 2000, Hader and Fairholm described three cases of progressive upper limb weakness due to pseudo-meningocoeles. The collections extended from cervical to lumbar level.…”

Section: Discussionmentioning

confidence: 99%

“…However, there are a few studies in the English literature describing the clinical pattern and possible pathomechanism of brachial amyotrophy associated with VLISFC. [3][4][5][6][7][8] De Luca et al coined the term VLISFC and enumerated the typical MRI findings of an elevated dura and extended extradural fluid collection and attributed it to CSF leak. 5 In the present report, we describe the rare clinical evolution and MR imaging characteristics of a man presenting initially as progressive bilateral distal amyotrophy of upper limbs who later developed classical features of spontaneous intracranial hypotension.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Ventral longitudinal intraspinal fluid collection: Rare presentation as brachial amyotrophy and intracranial hypotension

Preethish‐Kumar

Vengalil

Tiwari

et al. 2017

The Journal of Spinal Cord Medicine

View full text Add to dashboard Cite

A 31 year old man presented with severe positional neck discomfort, radiating pain, progressive asymmetrical wasting and weakness of distal upper limbs. Contrast Magnetic Resonance Imaging (MRI) of the spine demonstrated a ventral extradural intraspinal fluid collection extending from upper border of C6 to lower border of T3 vertebra with pockets of dorsal collection. Three-dimensional constructive interference in steady state (CISS 3D) used in spinal imaging for identification of CSF leak corroborated with the extent seen on T2 sagittal sections; however, the site of the leak was not identified. After a year he developed disturbing postural headache which was relieved in recumbent position. Follow up MRI of brain was normal while spine demonstrated significant cervical cord atrophy and bilateral cord white matter hyperintensities. Conclusion / Clinical Relevance: We report this unusual case where local compression by VLISFC located at the cervical and upper thoracic level not only caused distal bi-brachial amyotrophy mimicking Hirayama disease but also led to secondary intracranial hypotension. An early identification and intervention could possibly have prevented the onset of ICH.

show abstract

Section: Discussioncontrasting

confidence: 58%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ventral longitudinal intraspinal fluid collection: Rare presentation as brachial amyotrophy and intracranial hypotension

Preethish‐Kumar

Vengalil

Tiwari

et al. 2017

The Journal of Spinal Cord Medicine

View full text Add to dashboard Cite

show abstract

“…Two recent reports [1,2] have suggested patients may present in a delayed fashion with symptoms of low CSF pressure and spinal fluid collections causing mass effect but there has been no direct evidence of cord compromise on imaging. There is already a recognition that spinal imaging may reveal abnormalities in patients with SIH and one large series showed 16 of 18 patients with SIH had spinal CSF fluid collections most commonly anterior to the cord in the cervical region, though none of these were compressive and no patients had attributable neurological deficits as a result [3].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous CSF Collection in the Cervical Spine may Cause Neurological Deficit and Intra-cranial Hypotension

Zakaria¹,

Wilby²,

Fletcher³

2013

TONEUJ

View full text Add to dashboard Cite

Objective:a case is described of a spontaneously occurring cerebrospinal fluid collection in the ventral cervical spine which caused radiculopathy and spontaneous intracranial hypotension. Case:a sixty eight year old Caucasian man presented with a 2 year history of proximal upper limb weakness with a his-tory of trivial cervical trauma many years previously. Methods:the patient was investigated with blood tests for causes of peripheral neuropathy, nerve conduction and electro-myography studies, lumbar puncture and MRI of the brain and spine with contrast. Results:a cerebrospinal fluid collection was identified in the ventral cervical spinal cord causing mass effect associated with cord atrophy and there were signs of spontaneous intracranial hypotension on the MRI brain including subdural cere-brospinal fluid collections, meningeal enhancement and slumped posterior fossa. Conclusions:this is the first description of a spontaneous spinal fluid collection causing direct compression and cord sig-nal change, manifest as a motor deficit, with intracranial signs of spontaneous hypotension. Spinal imaging is recom-mended in cases of spontaneous intracranial hypotension and cerebrospinal fluid collections in the spine may rarely be a cause of radiculopathy in such cases.

show abstract

Bibrachial Amyotrophy Due to Spontaneous Spinal Cerebrospinal Fluid Leak

Schievink

Maya

2023

JAMA Neurol

View full text Add to dashboard Cite

show abstract

Anterior horn cell loss from subdural hygroma: A consequence of spontaneous spinal fluid leak

Cited by 15 publications

References 9 publications

Ventral longitudinal intraspinal fluid collection: Rare presentation as brachial amyotrophy and intracranial hypotension

Ventral longitudinal intraspinal fluid collection: Rare presentation as brachial amyotrophy and intracranial hypotension

Spontaneous CSF Collection in the Cervical Spine may Cause Neurological Deficit and Intra-cranial Hypotension

Bibrachial Amyotrophy Due to Spontaneous Spinal Cerebrospinal Fluid Leak

Contact Info

Product

Resources

About