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Surgical treatment of mixed cervical spondylosis with spontaneous cerebrospinal fluid leakage: A case report

World Journal of Clinical Cases 2023年第29期11卷 7242-7247页

作者： Zhong Yu Hao-Fu-Zi Zhang Yan-Jun Wang Department of Emergency Honghui HospitalXi’an Jiaotong UniversityXi’an 710032Shaanxi ProvinceChina Department of Neurosurgery Xijing HospitalFourth Military Medical UniversityXi’an 710032Shaanxi ProvinceChina

BACKGROUND Spontaneous cerebrospinal fluid(CSF)leaks associated with cervical spondylosis are *** our knowledge,only a few cases have been reported in which treatment is challenging and varies from case to ***,we review the literature and describe the surgical treatment of a 70-year-old woman who presented with a CSF leak due to a cervical spine *** SUMMARY A 70-year-old female patient who was treated for a cerebral infarction,presented with complains of weakness in the right lower extremity and a feeling of stepping on *** patient underwent regular neck massage and presented with neck and right shoulder pain radiating to the right upper extremity one-month *** resonance imaging showed a strip of leaking cerebrospinal fluid posterior to the C1-4 vertebrae,and computed tomography showed a“sickleshaped”disc prolapse with calcification in C4/*** chose to perform an anterior cervical *** the prolapsed C4/5 disc was scraped,clear fluid leakage was observed,and exploration revealed a 1 mm diameter rupture in the anterior aspect of the dura mater,which was compressed continuously with cotton patties,with no significant cerebrospinal fluid leakage after 1 *** Three months after surgery,the patient was asymptomatic and follow-up imaging demonstrated complete resolution.

关键词： Cerebrospinal fluid leak degenerative spine pathology Cervical spine Surgical treatment Case report

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