Dural diverticulum with a symptomatic cerebrospinal fluid leak.
Nicholas Armstrong1, Clinton Williamson1, Natalie Williamson1
1Department of Radiology, Integris Baptist Medical Center, 3300 NW Expressway, Oklahoma City, OK 73112, USA.
Radiology Case Reports
|March 15, 2016
Summary
A case report details a 63-year-old female with a cervical spinal dural diverticulum causing intracranial hypotension due to a cerebrospinal fluid (CSF) leak. An epidural blood patch effectively treated her symptoms.
Area of Science:
- Neurosurgery
- Neurology
- Radiology
Background:
- Spinal dural diverticula are rare outpouchings of the dura mater.
- Intracranial hypotension can result from cerebrospinal fluid (CSF) leaks.
- Minor trauma can precipitate symptomatic CSF leaks in predisposed individuals.
Observation:
- A 63-year-old female presented with symptoms of intracranial hypotension.
- Imaging revealed a cervical spinal dural diverticulum.
- A symptomatic CSF leak was identified as the cause.
Findings:
- The patient experienced significant relief following a cervical epidural blood patch.
- The procedure successfully sealed the cerebrospinal fluid leak.
- Conservative management was not required.
Implications:
- Epidural blood patching is an effective treatment for intracranial hypotension secondary to spinal CSF leaks.
- This case highlights the importance of considering spinal dural diverticula in the etiology of CSF leaks.
- Prompt diagnosis and targeted treatment can lead to favorable outcomes in patients with CSF leak-induced hypotension.
Keywords:
Dural diverticulumEpidural blood patchImaging findings of intracranial hypotensionOrthostatic headachesSpontaneous cerebrospinal fluid leakageSpontaneous intracranial hypotensionMore Related Videos
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