SPONTANEOUS CEREBROSPINAL-FLUID FISTULA THROUGH THE CLIVUS - REPORT OF 2 CASES

被引:26
作者
COITEIRO, D
TAVORA, L
ANTUNES, JL
机构
[1] Department of Neurosurgery, University of Lisbon, Hospital de Santa Maria, Lisbon
关键词
BASILAR ARTERY; CEREBROSPINAL FLUID FISTULA; CLIVUS; INTRACRANIAL PRESSURE; TRANSSPHENOIDAL APPROACH;
D O I
10.1227/00006123-199510000-00030
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
THERE HAVE BEEN no previous reports of a spontaneous cerebrospinal fluid fistula through the clivus. We present two such cases, describe their management, and propose a physiopathological explanation. The pulsating effect of the basilar artery in Patient 1 and brisk increases in intracranial pressure through repeated Valsalva maneuvers, acting on a congenitally thin bone in Patient 2, seem to be the plausible causes for the clival leakage.
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页码:826 / 828
页数:3
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