Multi-level Disruption of the Spinal Nerve Root Sleeves in Spontaneous Spinal Cerebrospinal Fluid Leakage
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概要
- 論文の詳細を見る
A 37-year-old male and an 18-year-old male presented with spontaneous spinal cerebrospinal fluid (CSF) leakage from multiple nerve root sleeves. Both patients suffered abrupt onset of intense headache followed by nausea, dizziness, and one patient with and one without positional headache. Radioisotope spinal cisternography of both patients revealed that the CSF leaks were not localized in a special zone but distributed to multiple spinal nerve root sleeves. Magnetic resonance (MR) myelography suggested that the spinal CSF column was fully expanded to the root sleeves. The extraspinal nerve bundles demonstrated numerous high intensity spots. Both patients were treated conservatively, and their symptoms resolved within one month. Repeat radioisotope cisternography and MR myelography confirmed the spine was normal after recovery. We suggest that spreading disruption of the arachnoid membrane occurs at the nerve root sleeves due to CSF overflow into the spinal canal.
- 日本脳神経外科学会の論文
- 2001-03-15
著者
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MATSUMOTO Kenichi
Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University
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INOUE Takuya
Department of Cardiovascular Medicine, Toho University Ohashi Medical Center
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TAKESHITA Iwao
Departments of Neurosurgery, Neurological Institute, Faculty of Medicine, Kyushu University
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Takeshita Iwao
Department Of Neurosurgery Kyushu Rosai Hospital
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Takeshita Iwao
Department Of Neurosurgery Faculty Of Medicine Kyushu University
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Ohta Masaru
Department Of Neurosurgery Kyushu Rosai Hospital
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YOSHIMOTO Koji
Department of Neurosurgery, Kyushu Rosai Hospital
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YAMAGUCHI Tatsumi
Department of Neurosurgery, Kyushu Rosai Hospital
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Matsumoto Kenichi
Department Of Neurosurgery Kyushu Rosai Hospital:(present Address)department Of Neuropathology Neuro
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Yamaguchi Tatsumi
Department Of Neurosurgery Kyushu Rosai Hospital
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Yoshimoto Koji
Department Of Neurosurgery Kyushu Rosai Hospital
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Matsumoto Kenichi
Department Of Neuropathology Graduate School Of Medical Sciences Kyushu University
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Yoshimoto Koji
Department Of Neurosurgery Graduate School Of Medical Sciences Kyushu University
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Matsumoto Kenichi
Department Of Image Based Medicine Institute Of Biomedical Research And Innovation
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Inoue Takuya
Department Of Neurosurgery Kyushu Rosai Hospital
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TAKESHITA Iwao
Department of Neurosurgery, Kyushu Rosai Hospital
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