Zakaria Rasheed, Wilby Martin, Fletcher Nicholas A
Department of Neurosurgery, The Walton Centre NHS Foundation Trust, Liverpool, UK.
Open Neurol J. 2013;7:1-3. doi: 10.2174/1874205X01307010001. Epub 2013 Jan 16.
a case is described of a spontaneously occurring cerebrospinal fluid collection in the ventral cervical spine which caused radiculopathy and spontaneous intracranial hypotension.
a sixty eight year old Caucasian man presented with a 2 year history of proximal upper limb weakness with a his-tory of trivial cervical trauma many years previously.
the patient was investigated with blood tests for causes of peripheral neuropathy, nerve conduction and electro-myography studies, lumbar puncture and MRI of the brain and spine with contrast.
a cerebrospinal fluid collection was identified in the ventral cervical spinal cord causing mass effect associated with cord atrophy and there were signs of spontaneous intracranial hypotension on the MRI brain including subdural cere-brospinal fluid collections, meningeal enhancement and slumped posterior fossa.
this is the first description of a spontaneous spinal fluid collection causing direct compression and cord sig-nal change, manifest as a motor deficit, with intracranial signs of spontaneous hypotension. Spinal imaging is recom-mended in cases of spontaneous intracranial hypotension and cerebrospinal fluid collections in the spine may rarely be a cause of radiculopathy in such cases.
描述一例颈椎腹侧自发出现的脑脊液聚集病例，该病例导致神经根病和自发性颅内低压。
一名68岁的白人男性，有2年近端上肢无力病史，多年前有轻微颈部外伤史。
对患者进行血液检查以查找周围神经病变的病因、神经传导和肌电图检查、腰椎穿刺以及脑部和脊柱的增强磁共振成像（MRI）。
在颈椎腹侧脊髓中发现脑脊液聚集，导致占位效应并伴有脊髓萎缩，MRI脑部检查有自发性颅内低压的迹象，包括硬膜下脑脊液聚集、脑膜强化和后颅窝下垂。
这是首次描述自发性脑脊液聚集导致直接压迫和脊髓信号改变，表现为运动功能障碍，并伴有自发性颅内低压的颅内体征。对于自发性颅内低压病例，建议进行脊柱成像检查，脊柱脑脊液聚集在这类病例中可能很少是神经根病的病因。
