| A unifying hypothesis for a patient with superficial siderosis, low-pressure headache, intraspinal cyst, back pain, and prominent vascularity. | |
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MedLine Citation:
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PMID: 19895195 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A source of bleeding is often not evident during the evaluation of patients with superficial siderosis of the CNS despite extensive imaging. An intraspinal fluid-filled collection of variable dimensions is frequently observed on spine MR imaging in patients with idiopathic superficial siderosis. A similar finding has also been reported in patients with idiopathic intracranial hypotension. The authors report on a patient with superficial siderosis and a longitudinally extensive intraspinal fluid-filled collection secondary to a dural tear. The patient had a history of low-pressure headaches. His spine MR imaging and spine CT suggested the possibility of an underlying vascular malformation, but none was found on angiography. Repair of the dural tear resulted in resolution of the intraspinal fluid collection and CSF abnormalities. The significance of the association between superficial siderosis and idiopathic intracranial hypotension, and potential therapeutic and pathophysiological implications, are the subject of this report. |
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Authors:
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Neeraj Kumar; Gary M Miller; David G Piepgras; Bahram Mokri |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 113 ISSN: 1933-0693 ISO Abbreviation: J. Neurosurg. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-02 Completed Date: 2010-07-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: United States |
Other Details:
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Languages: eng Pagination: 97-101 Citation Subset: AIM; IM |
Affiliation:
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Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905, USA. kumar.neeraj@mayo.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Back Pain
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etiology,
surgery Cerebrospinal Fluid / cytology* Cysts / diagnosis*, surgery Diagnosis, Differential Dura Mater / injuries*, pathology, surgery Erythrocyte Count* Headache / diagnosis*, surgery Hemosiderosis / diagnosis* Humans Intracranial Hypotension / diagnosis*, surgery Laminectomy Magnetic Resonance Imaging* Male Middle Aged Myelography* Neurologic Examination Spinal Cord / pathology* Spinal Diseases / diagnosis*, surgery Thoracic Vertebrae / surgery Tomography, X-Ray Computed* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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