title: Intraosseous CSF fistula in a patient with Gorham disease resulting in intracranial hypotension.
abstract: A 7-year-old girl with a history of headaches and Gorham disease was surgically treated in infancy for Chiari I malformation. Subsequent investigation revealed that her cerebellar tonsillar ectopia was due to a long-standing spinal CSF-lymphatic fistula causing intracranial hypotension. Percutaneous fistula closure was performed several times, resulting in transient symptomatic improvement.
authors.affiliation: Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA.
authors.forename: F
authors.initials: F
authors.lastname: Adler
authors.forename: N
authors.initials: N
authors.lastname: Gupta
authors.forename: C P
authors.initials: CP
authors.lastname: Hess
authors.forename: C F
authors.initials: CF
authors.lastname: Dowd
authors.forename: W P
authors.initials: WP
authors.lastname: Dillon
mesh_terms: D002555:Cerebrospinal Fluid; D002648:Child; D005260:Female; D005402:Fistula / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D019585:Intracranial Hypotension / Q000175:diagnosis* / Q000209:etiology; D008198:Lymph Nodes / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery*; D010015:Osteolysis, Essential / Q000150:complications; D013126:Spinal Nerve Roots / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome