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We describe the case of a 40-year-old man with spontaneous intracranial hypotension who presented with cervical radiculopathy associated with epidural venous engorgement. Epidural venous engorgement can occur secondary to intracranial hypot ension and manifests intracranially as pachymeningeal venous engorgement. In the cervical spine, two cases of epidural venous engorgement due to intracranial hypotension have been reported in the literature, and neither patient presented with symptoms re lated to nerve compression. Epidural venous engorgement should be considered in the differential diagnosis of an enhancing epidural mass in the cervical spine. Diagnostic clues include sparing of the anterior midline and posterior aspects of the epidura l space and, if present, pulsation artifact. |
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cerebrospinal fluid,hypovolemia cervical spine intracranial hypotension MRI MRI,abnormal MRI,contrast enhanced MRI,spine MRI,venography primary intracranial hypotension radiculopathy venous engorgement venous engorgement,epidural
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