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أعرض في EDS

CSF-Venous Fistula of the Clival Skull Base: A Unique Case Study and Literature Review.

التفاصيل البيبلوغرافية
العنوان: CSF-Venous Fistula of the Clival Skull Base: A Unique Case Study and Literature Review.
المؤلفون: Simmons JK; Division of Otolaryngology, Cedars-Sinai Medical Center, Los Angeles, California, U.S.A., Nadeem W; Division of Otolaryngology, Cedars-Sinai Medical Center, Los Angeles, California, U.S.A.; San Antonio School of Medicine, University of Texas, San Antonio, Texas, U.S.A., Maya MM; Department of Imaging, Cedars-Sinai Medical Center, Los Angeles, California, U.S.A., Wu AW; Division of Otolaryngology, Cedars-Sinai Medical Center, Los Angeles, California, U.S.A., Schievink WI; Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California, U.S.A., Mamelak AN; Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, California, U.S.A., Tang DM; Division of Otolaryngology, Cedars-Sinai Medical Center, Los Angeles, California, U.S.A.
المصدر: The Laryngoscope [Laryngoscope] 2024 Feb; Vol. 134 (2), pp. 645-647. Date of Electronic Publication: 2023 Sep 08.
نوع المنشور: Review; Case Reports
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE
أسماء مطبوعة: Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell
Original Publication: St. Louis, Mo. : [s.n., 1896-
مواضيع طبية MeSH: Intracranial Hypotension*/diagnosis , Intracranial Hypotension*/etiology , Intracranial Hypotension*/surgery , Fistula*/complications, Adolescent ; Humans ; Male ; Cerebrospinal Fluid Leak/diagnostic imaging ; Cerebrospinal Fluid Leak/etiology ; Skull Base/diagnostic imaging ; Cranial Fossa, Posterior
مستخلص: An adolescent male presented with orthostatic headaches following head trauma. MRI showed cerebellar tonsil displacement and a bony defect in the clival skull base. Digital subtraction myelography (DSM) confirmed a cerebrospinal fluid-venous fistula (CVF). This was repaired endoscopically. CVFs cause uncontrolled flow of CSF into the venous system resulting in symptoms of intracranial hypotension. They're often difficult to identify on initial imaging. This is the first reported CVF originating in the central skull base, and the first treated via endoscopic trans-nasal approach. CVFs may elude initial imaging, making DSM crucial for unexplained spontaneous intracranial hypotension. Laryngoscope, 134:645-647, 2024.
(© 2023 The American Laryngological, Rhinological and Otological Society, Inc.)
References: Ravnik J, Hribernik B, Lanišnik B. Endoscopic endonasal approaches to the clival region. Acta Med Acad. 2020;49(Suppl 1):45-53.
Schievink WI, Michael LM 2nd, Maya M, Klimo P Jr, Elijovich L. Spontaneous intracranial hypotension due to skull-base cerebrospinal fluid leak. Ann Neurol. 2021;90(3):514-516.
Hsieh CJ, Kuo LT, Lai DM, Huang AP. Cervical cerebrospinal fluid venous fistula with syringomyelia treated with suboccipital decompression: illustrative case. J Neurosurg Case Lessons. 2022;3(15):CASE2211.
Schievink WI, Moser FG, Maya MM. CSF-venous fistula in spontaneous intracranial hypotension. Neurology. 2014;83(5):472-473.
Kim DK, Carr CM, Benson JC, et al. Diagnostic yield of lateral decubitus digital subtraction myelogram stratified by brain MRI findings. Neurology. 2021;96(9):e1312-e1318.
فهرسة مساهمة: Keywords: CSF-venous fistula; central skull base fracture; clival fracture; clival skull base; digital subtraction myelogram
تواريخ الأحداث: Date Created: 20230908 Date Completed: 20240118 Latest Revision: 20240118
رمز التحديث: 20240118
DOI: 10.1002/lary.31032
PMID: 37681943
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-4995
DOI:10.1002/lary.31032