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Intracranial Hypotension as a Cause of Radiculopathy from Cervical Epidural Venous Engorgement: Case Report
AJNR 23:618-621, Albayram,S.,et al, 2002
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Article Abstract
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.
 
Related Tags
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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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