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Clinical Neuroradiology
Published in: Clinical Neuroradiology 1/2019

01-03-2019 | Correspondence

Osteophyte piercing of the dura

Authors: H. Urbach, E. Kaya, U. Hubbe

Published in: Clinical Neuroradiology | Issue 1/2019

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Excerpt

A 34-year-old man complained of sudden onset of orthostatic headache lasting for 2 weeks. Magnetic resonance imaging (MRI) of the head was normal, the cerebrospinal fluid (CSF) opening pressure was 6 cm H20, and the body mass index (BMI) was 22.6 kg/m2. Dynamic myelography (Fig. 1a) and computed tomography (CT) myelography (Fig. 1b, c) revealed a CSF leak at the Th2/3 level caused by a 3 mm large penetrating osteophyte. Surgical repair (Fig. 1d) with resection of the osteophyte and ligation of the dural tear resulted in complete relief of the patient’s symptoms. …
Literature
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Schievink WI, Maya MM, Jean-Pierre S, Nuño M, Prasad RS, Moser FG. A classification system of spontaneous spinal CSF leaks. Neurology. 2016;87:673–9.CrossRefPubMed
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Beck J, Ulrich CT, Fung C, Fichtner J, Seidel K, Fiechter M, Hsieh K, Murek M, Bervini D, Meier N, Mono ML, Mordasini P, Hewer E, Z’Graggen WJ, Gralla J, Raabe A. Diskogenic microspurs as a major cause of intractable spontaneous intracranial hypotension. Neurology. 2016;87:1220–6.CrossRefPubMed
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Metadata
Title
Osteophyte piercing of the dura
Authors
H. Urbach
E. Kaya
U. Hubbe
Publication date
01-03-2019
Publisher
Springer Berlin Heidelberg
Published in
Clinical Neuroradiology / Issue 1/2019
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-018-0703-3

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