Compressão medular decorrente de hiperdrenagem de derivação ventriculoperitoneal: uma rara complicação

Cardoso, Marcio de Mendonça; Gepp, Ricardo de Amoreira; Quiroga, Marco Rolando Sainz; Sousa, Henrique Caetano de

doi:10.1055/s-0038-1626206

Cited by 2 publications

(2 citation statements)

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“…An interesting observation regards the initial manifestations of myelopathy, which varied from 4 months to 10 years. 3 Also noteworthy is the fact that no cases described in the literature have presented the classic symptoms of CSF overdrainage. The majority of patients have presented with motor deficit clinical symptoms (9 cases), and only 1 case presented with neck and back pain.…”

Section: Discussionmentioning

confidence: 99%

“…Spinal MRI revealing an extraarachnoid fluid collection, extradural extravasation of fluids, meningeal diverticula, diffuse pachymeningeal enhancement, and enlargement of the spinal epidural venous plexus are not uncommon, 2 but compressive cervical myelopathy related to the epidural venous plexus engorgement caused by fluid hypotension is extremely rare. [3][4][5][6][7][8][9][10][11] This paper reports the case of a patient who presented a progressive cervical myelopathy related to an epidural venous plexus engorgement caused by shunt overdrainage. Since an early diagnosis was never reached, this case report covers the primary findings and pitfalls before the primary etiology was revealed.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cervical Myelopathy Caused by Engorgement of the Epidural Venous Plexus due to Cerebrospinal Fluid Overdrainage: Case Report and Review of the Literature

Dantas

Raso

et al. 2016

Arq Bras Neurocir

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This is a case report of a 33-year-old woman with cervical myelopathy caused by an enlargement of the cervical venous plexus, after she was submitted to a ventriculoperitoneal (VP) shunt that evolved to overdrainage. Magnetic Resonance Imaging (MRI) revealed an epidural venous enlargement within the spinal channel, with a 50% narrowing from C2 to C5, and spinal cord compression. A shunt revision was performed using a programmable drainage system, and a second MRI revealed the absence of the venous enlargement, resulting in cervical spinal cord decompression and remission of neurological symptoms. Compressive myelopathy consequent to the enlargement of the epidural venous plexus related to the overdrainage of the ventriculoperitoneal shunt system without typical signs of intracranial hypotension may result in misleading etiological diagnoses. Acknowledging this disorder is important to distinguish it from neoplastic processes or hematomas, for which surgical intervention may be needed. ResumoEste é um relato de caso de uma paciente de 33 anos de idade que apresentou mielopatia cervical devido a alargamento do plexo venoso cervical, após ser submetida a uma derivação ventriculoperitoneal que evoluiu com hiperdrenagem.

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Section: Discussionmentioning

confidence: 99%