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Intradural non-calcified thoracic disc herniation causing spontaneous intracranial hypotension: a case report.

Michael FiechterAlexander OttJürgen BeckAstrid WeyerbrockJean-Yves Fournier
Published in: BMC surgery (2019)
We report the rare phenomenon of an intradural non-calcified disc sequester at the thoracolumbar junction as the cause of a ventral dural tear leading to a CSF leak with intractable SIH. This is of particular interest as the major cause of ventral dural leakage is thought to arise from calcified discogenic microspurs or dorsal osteophytes. Furthermore, we comprehensively describe a short and reasonable diagnostic and surgical approach of this rare pathology, which may particularly be of use in daily clinical routine in neurological wards and general surgical spine centers not facing such pathologies on a regular basis.
Keyphrases
  • spinal cord
  • neuropathic pain
  • spinal cord injury
  • deep brain stimulation
  • physical activity
  • clinical practice
  • prefrontal cortex
  • cerebrospinal fluid
  • cerebral ischemia
  • optical coherence tomography