PT  - JOURNAL ARTICLE
AU  - Burtis, M. Todd
AU  - Ulmer, John L.
AU  - Miller, Glenn A.
AU  - Barboli, Alexandru C.
AU  - Koss, Scott A.
AU  - Brown, W. Douglas
TI  - Intradural Spinal Vein Enlargement in Craniospinal Hypotension
DP  - 2005 Jan 01
TA  - American Journal of Neuroradiology
PG  - 34--38
VI  - 26
IP  - 1
4099  - http://www.ajnr.org/content/26/1/34.short
4100  - http://www.ajnr.org/content/26/1/34.full
SO  - Am. J. Neuroradiol.2005 Jan 01; 26
AB  - Summary: We present a case of craniospinal hypotension in a 45-year-old woman with an associated epidural pseudomeningocele extending the entire length of the spine. The epidural pseudomeningocele was caused by a CSF leak at the T8 level. In addition to typical low-pressure symptoms, the epidural pseudomeningocele caused atypical symptoms characterized by positional thoracic radiculopathy. Craniospinal hypotension was associated with massive cervical epidural venous engorgement, as well as enlargement of the posterior spinal cord vein, which was reminiscent of a dural arteriovenous fistula at CT myelography. Enlargement of the posterior spinal vein is explained by the Monro-Kellie hypothesis, and the spinal analog to enlarged cerebral veins known to be associated with intracranial hypotension.