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Papers of the Week

2022 Mar 28

J Neurosurg Case Lessons



Intracranial hypotension due to ventral thoracic dural tear secondary to osteophyte complex: resolution after transdural thoracic microdiscectomy with dural repair. Illustrative case.


Kewlani B, Garton ALA, Hussain I, Chazen LJ, Robbins MS, Baaj AA, Greenfield JP
J Neurosurg Case Lessons. 2022 Mar 28; 3(13).
PMID: 36273860.


Intracranial hypotension (IH) manifests with orthostatic headaches secondary to cerebrospinal fluid (CSF) hypovolemia. Common iatrogenic etiologies include lumbar punctures and spinal surgery. Although much rarer, structural defects such as osteophytes and herniated calcified discs can violate dural integrity, resulting in CSF leak.