Intracranial hypotension after syringopleural shunting in posttraumatic syringomyelia: Case report and review of the literature

Johanne C Summers; Yagnesh Vellore; Patrick C H Chan; Jeffrey V Rosenfeld

doi:10.4103/1793-5482.152113

Intracranial hypotension after syringopleural shunting in posttraumatic syringomyelia: Case report and review of the literature

Asian J Neurosurg. 2015 Apr-Jun;10(2):158-61. doi: 10.4103/1793-5482.152113.

Authors

Johanne C Summers¹, Yagnesh Vellore², Patrick C H Chan³, Jeffrey V Rosenfeld³

Affiliations

¹ Department of Neurosurgery, Monash Medical Centre, Victoria, Australia.
² Department of Neurosurgery, The Alfred Hospital, Victoria, Australia.
³ Department of Neurosurgery, The Alfred Hospital, Victoria, Australia ; Department of Surgery, Monash University, Victoria, Australia.

Abstract

We report a case of a 45-year-old male with a syringopleural shunt who developed intracranial hypotension. The patient presented with 2 weeks history of worsening headache and back pain, on a background of having had a syringopleural shunt inserted for a thoracic posttraumatic syrinx. Computerized tomography imaging of the brain revealed bilateral subdural fluid collections. Magnetic resonance imaging appearances of spinal and intracranial pachymeningeal enhancement confirmed intracranial hypotension. We present a rare case of intracranial hypotension secondary to syringopleural shunting in a patient with posttraumatic syringomyelia.

Keywords: Intracranial hypotension; subdural collection; syringomyelia; syringopleural shunt.

Publication types

Case Reports