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A Poorly Known Cerebrospinal Fluid Shunt Complication: Miyazaki Syndrome

Riccardo Caruso1, Venceslao Wierzbicki2, Luigi Marrocco2

  • 1Department of Neurology and Psychiatry, Sapienza University of Rome, Chief of the Neurosurgical Division of the Rome Army Medical Center.

World Neurosurgery
|April 28, 2015
PubMed

Insights

Cerebrospinal fluid hypotension can cause cervical myelopathy and venous plexus enlargement without headaches. This study explores this rare condition, presenting a case and discussing its potential causes.

Area of Science:

  • Neurology
  • Neurosurgery
  • Vascular Medicine

Background:

  • Cerebrospinal fluid (CSF) hypotension is a condition that can lead to various neurological symptoms.
  • A specific subtype, characterized by cervical myelopathy, cervical venous plexus enlargement, and absence of headache, was previously described by Miyazaki.
  • The etiopathogenesis of this particular presentation remains poorly understood.

Observation:

  • A case presented with cervical myelopathy and significant cervical venous plexus volume increase.
  • Headache, a common symptom of hypotension, was notably absent in this case.

Findings:

  • The study investigated a poorly understood form of cerebrospinal fluid hypotension.
  • Literature review and case analysis were used to understand the pathology.
  • Etiopathogenic theories were formulated to explain the observed clinical manifestations.

Implications:

  • This research enhances understanding of cerebrospinal fluid hypotension variants.
  • It may lead to improved diagnostic approaches for this condition.
  • Further research into the proposed etiopathogenic mechanisms is warranted.
Keywords:
Epidural venous engorgementIntracranial cerebrospinal fluid hypotensionMyelopathyShunt

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