title: Spontaneous cerebrospinal fluid leak from an anomalous thoracic nerve root: case report.
abstract: The authors report the case of a 28-year-old woman with a spontaneous cerebrospinal fluid leak from the sleeve of a redundant thoracic nerve root. She presented with postural headaches and orthostatic symptoms indicative of intracranial hypotension. CT myelography revealed that the lesion was located at the T-11 nerve root. After failure of conservative management, including blood patches and thrombin glue injections, the patient was successfully treated with surgical decompression and ligation of the duplicate nerve, resulting in full resolution of her orthostatic symptoms.
authors.affiliation: Departments of 1 Neurological Surgery.
authors.forename: Alejandro J
authors.initials: AJ
authors.lastname: Lopez
authors.affiliation: Departments of 1 Neurological Surgery.
authors.forename: Robert K
authors.initials: RK
authors.lastname: Campbell
authors.affiliation: Departments of 1 Neurological Surgery.
authors.forename: Omar
authors.initials: O
authors.lastname: Arnaout
authors.affiliation: Neurology, and.
authors.forename: Yvonne M
authors.initials: YM
authors.lastname: Curran
authors.affiliation: Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
authors.forename: Ali
authors.initials: A
authors.lastname: Shaibani
authors.affiliation: Departments of 1 Neurological Surgery.
authors.forename: Nader S
authors.initials: NS
authors.lastname: Dahdaleh
mesh_terms: D000328:Adult; D017217:Blood Patch, Epidural; D001921:Brain / Q000000981:diagnostic imaging; D065634:Cerebrospinal Fluid Leak / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D008026:Ligation / Q000379:methods; D008279:Magnetic Resonance Imaging; D009192:Myelography / Q000379:methods; D013900:Thoracic Nerves / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods
keywords: CSF = cerebrospinal fluid; anomalous; cerebrospinal fluid; congenital; dura; leak; spine; thoracic nerve root