Nethala Priscilla, Gh Sandhya, Shivaram Sumanth
Department of General Medicine, Bangalore Baptist Hospital, Bangalore, India.
Department of Radiology, Bangalore Baptist Hospital, Bangalore, India.
Neurohospitalist. 2023 Oct;13(4):445-446. doi: 10.1177/19418744231179346. Epub 2023 May 28.
Spinal dural tears are being increasingly recongnized to cause superficial siderosis and intracranial hypotension. We report a patient with chronic headache who was detected to have cerebellar superficial siderosis and subtle signs of intracranial hypotension on imaging. Spinal imaging showed an upper thoracic dural tear secondary to a paradiscal osteophyte. She improved significantly with surgical repair of the tear. We highlight the importance of recognizing superficial sideorsis in patients with chronic headache as it serves as a marker for dural tear and intracranial hypotension.
脊髓硬脊膜撕裂越来越被认为会导致浅表性铁沉积症和颅内低压。我们报告了一名患有慢性头痛的患者，其在影像学检查中被发现有小脑浅表性铁沉积症和颅内低压的细微迹象。脊柱影像学检查显示，上位胸椎硬脊膜撕裂是由椎间盘旁骨赘引起的。通过手术修复撕裂，她的病情有了显著改善。我们强调，认识到慢性头痛患者的浅表性铁沉积症很重要，因为它是硬脊膜撕裂和颅内低压的一个标志。
