Spontaneous Intracranial Hypotension: A Case Report

Uysal, Serap; Albayram, Sait; Ercan, Tuğba Erener

doi:10.1177/0883073808318051

Cited by 18 publications

(29 citation statements)

References 19 publications

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“…Several modified surgical techniques, including anastomosis from the split hypoglossal nerve (HGN) or descending branch of the HGN to the FN, have been designed to reduce hemiglossal atrophy. Moreover, other modifications have also been made, such as hemihypoglossal-facial anastomosis and hypoglossal-facial nerve interpositional jump graft to overcome complications caused by classical methods6,8,18,22).…”

Section: Introductionmentioning

confidence: 99%

Morphometric Study of Hypoglossal Nerve and Facial Nerve on the Submandibular Region in Korean

Shin

Bae

Shim

et al. 2012

J Korean Neurosurg Soc

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ObjectiveThis study was performed to determine the anatomical landmarks and optimal dissection points of the facial nerve (FN) and the hypoglossal nerve (HGN) in the submandibular region to provide guidance for hypoglossal-facial nerve anastomosis (HFNA).MethodsTwenty-nine specimens were obtained from 15 formalin-fixed adult cadavers. Distances were measured based on the mastoid process tip (MPT), common carotid artery bifurcation (CCAB), and the digastric muscle posterior belly (DMPB).ResultsThe shortest distance from the MPT to the stylomastoid foramen was 14.1±2.9 mm. The distance from the MPT to the FN origin was 8.6±2.8 mm anteriorly and 5.9±2.8 mm superiorly. The distance from the CCAB to the crossing point of the HGN and the internal carotid artery was 18.5±6.7 mm, and that to the crossing point of the HGN and the external carotid artery was 15.1±5.7 mm. The distance from the CCAB to the HGN bifurcation was 26.6±7.5 mm. The distance from the digastric groove to the HGN, which was found under the DMPB, was about 35.8±5.7 mm. The distance from the digastric groove to the HGN, which was found under the DMPB, corresponded to about 65.5% of the whole length of the DMPB.ConclusionThis study provides useful information regarding the morphometric anatomy of the submandibular region, and the presented morphological data on the nerves and surrounding structures will aid in understanding the anatomical structures more accurately to prevent complications of HFNA.

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Section: Introductionmentioning

confidence: 99%

Morphometric Study of Hypoglossal Nerve and Facial Nerve on the Submandibular Region in Korean

Shin

Bae

Shim

et al. 2012

J Korean Neurosurg Soc

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“…The reason was the presence of the extensive instrumentation of the spine and the profound structural bone abnormalities, either related to the scoliotic pathology or the previous operations. We believed that trying to enter the epidural space from more distant interlaminar spaces would be of no benefit, because of the extensive bony fusions of the posterior spine in many levels which was seen on the spinal CT. Also, according to our experience, we believe that EBP performed with a large volume of blood at the same level of the leakage is very important to achieve the best results in the obliteration of the leakage and the improvement of the syndrome [2,3,13]. Therefore, we decided to enter the epidural space by the translaminar approach, and were performed by using ostycut trephine needle.…”

Section: Discussionmentioning

confidence: 99%

CT-guided percutaneous translaminar approach for blood patching: case report and technical note

et al. 2011

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In this article the authors describe a novel technique for performing epidural blood patch (EBP) by percutaneous CT-guided translaminar approach in challenging cases where interlaminar approach is not possible. A 24-year-old woman with medical history of multiple spinal surgeries and instrumentations for the treatment of scoliosis, presented 3 months post-operatively with acute and severe orthostatic headaches that began 1 week after surgery. Neurological examination was normal. Brain magnetic resonance imaging (MRI) showed mild thickening and contrast enhancing in the bilateral dura. Computed tomography (CT) myelography revealed CSF leakage in the level of T3 vertebra. EBP was attempted using fluoroscopic and then CT guidance; however, despite multiple attempts, the epidural space could not be accessed through the interlaminar route due to extensive instrumentation of the spine and profound structural bony abnormalities. EBP was performed successfully via a CT-guided translaminar approach using an Ostycut trephine needle (Angiomed Ò / Bard, Karlsruhe), without complications.

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“…While dural ectasia has been documented in 40% of children and 63-95% of adults with Marfan syndrome [314], only a small fraction of these patients are diagnosed with intracranial hypotension. The phenomenon has been seen across the age spectrum including children as young as 5 years [306,316].…”

Section: Spontaneous Cerebrospinal Fluid (Csf) Leakagementioning

confidence: 99%

Features of Marfan syndrome not listed in the Ghent nosology – the dark side of the disease

Kodolitsch

Demolder

Girdauskas

et al. 2019

Expert Review of Cardiovascular Therapy

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Introduction: The revised Ghent nosology presents the classical features of Marfan syndrome. However, behind its familiar face, Marfan syndrome hides less well-known features. Areas covered: The German Marfan Organization listed unusual symptoms and clinical experts reviewed the literature on clinical features of Marfan syndrome not listed in the Ghent nosology. Thereby we identified the following features: (1) bicuspid aortic valve, mitral valve prolapse, pulmonary valve prolapse, tricuspid valve prolapse, (2) heart failure and cardiomyopathy, (3) supraventricular arrhythmia, ventricular arrhythmia, and abnormal repolarization, (4) spontaneous coronary artery dissection, anomalous coronary arteries, and atherosclerotic coronary artery disease, tortuosity-, aneurysm-, and dissection of large and medium-sized arteries, (5) restrictive lung disease, parenchymal lung disease, and airway disorders, (6) obstructive-and central sleep apnea, (7) liver and kidney cysts, biliary tract disease, diaphragmatic hernia, and adiposity, (8) premature labor, and urinary incontinence, (9) myopathy, reduced bone mineral density, and craniofacial manifestations, (10) atrophic scars, (11) caries, and craniomandibular dysfunction, (12) headache from migraine and spontaneous cerebrospinal fluid leakage, (13) cognitive dysfunction, schizophrenia, depression, fatigue, and pain, (14) and activated fibrinolysis, thrombin, platelets, acquired von Willebrand disease, and platelet dysfunction. Expert commentary: Future research, nosologies, and guidelines may consider less well-known features of Marfan syndrome. ARTICLE HISTORY

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Spontaneous Intracranial Hypotension: A Case Report

Cited by 18 publications

References 19 publications

Morphometric Study of Hypoglossal Nerve and Facial Nerve on the Submandibular Region in Korean

Morphometric Study of Hypoglossal Nerve and Facial Nerve on the Submandibular Region in Korean

CT-guided percutaneous translaminar approach for blood patching: case report and technical note

Features of Marfan syndrome not listed in the Ghent nosology – the dark side of the disease

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