The Relief of Unilateral Painful Thoracic Radiculopathy without Headache from Remote Spontaneous Spinal Cerebrospinal Fluid Leak
Joint Authors
Son, Byung-chul
Ha, Sang-woo
Lee, Si-hoon
Choi, Jin-gyu
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Spontaneous intracranial hypotension (SIH) caused by spontaneous spinal cerebrospinal fluid (CSF) leaks produces orthostatic headaches.
Although upper arm pain or paresthesia is reportedly associated with SIH from spontaneous spinal CSF leak in the presence of orthostatic headache, low thoracic radicular pain due to spontaneous spinal CSF leak unassociated with postural headache is extremely rare.
We report a 67-year-old female who presented with chronic, positional radicular right T11 pain.
Computed tomography myelography showed a spontaneous lumbar spinal CSF leak at L2-3 and repeated lumbar epidural blood patches significantly alleviated chronic, positional, and lower thoracic radiculopathic pain.
The authors speculate that a chronic spontaneous spinal CSF leak not severe enough to cause typical orthostatic headache or epidural CSF collection may cause local symptoms such as irritation of a remote nerve root.
There might be considerable variabilities in the clinical features of SIH which can present a diagnostic challenge.
American Psychological Association (APA)
Son, Byung-chul& Ha, Sang-woo& Lee, Si-hoon& Choi, Jin-gyu. 2016. The Relief of Unilateral Painful Thoracic Radiculopathy without Headache from Remote Spontaneous Spinal Cerebrospinal Fluid Leak. Pain Research and Management،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1115445
Modern Language Association (MLA)
Son, Byung-chul…[et al.]. The Relief of Unilateral Painful Thoracic Radiculopathy without Headache from Remote Spontaneous Spinal Cerebrospinal Fluid Leak. Pain Research and Management No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1115445
American Medical Association (AMA)
Son, Byung-chul& Ha, Sang-woo& Lee, Si-hoon& Choi, Jin-gyu. The Relief of Unilateral Painful Thoracic Radiculopathy without Headache from Remote Spontaneous Spinal Cerebrospinal Fluid Leak. Pain Research and Management. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1115445
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1115445