@entity5325 due to a spinal cerebrospinal fluid (CSF) leak is a rare but increasingly recognized cause of @entity10 . The exact cause of these CSF leaks often remains unknown. The authors treated a 32-year-old @entity1 with a unique cause of @entity5325 . He suffered an excruciating @entity10 that was exacerbated by his being in an upright position. The results of four-vessel cerebral angiography were negative; however, magnetic resonance (MR) imaging of the brain revealed @entity693 . A presumptive diagnosis of @entity5325 was made. Myelography revealed extrathecal contrast material ventral to the cervical spinal cord as well as an unusual midline @entity5040 at @entity9509 . The @entity1 's symptoms did not resolve with the application of epidural blood patches, and he subsequently underwent an anterior approach to the @entity9509 spur. After discectomy, a slender @entity5040 that had pierced the thecal sac was found. After its removal, the dural rent was closed using two interrupted prolene sutures. The @entity1 was discharged home 2 days later. On follow up his symptoms had resolved, and on MR imaging the pachymeningeal enhancement had resolved and the @entity3976 had improved slightly.

Cervical XXXX presenting with @entity5325 . Case report.

@entity1 :: ('9606', 'Species') :: ['patient', 'man'] @entity3976 :: ('MESH:D004677', 'Disease') :: ['cerebellar herniation'] @entity5040 :: ('MESH:D054850', 'Disease') :: ['bone spur'] @entity9509 :: ('3434', 'Gene') :: ['C5-6'] @entity693 :: ('MESH:D008581', 'Disease') :: ['pachymeningeal enhancement and hindbrain herniation'] @entity10 :: ('MESH:D006261', 'Disease') :: ['postural headaches', 'headache'] @entity5325 :: ('MESH:D019585', 'Disease') :: ['Spontaneous intracranial hypotension', 'spontaneous intracranial hypotension']
@entity5040 :: (MESH:D054850,Disease) :: ['bone spur']
