Ventral Longitudinal Intraspinal Fluid Collection in Patients with Cervical Disc Herniation: A Report of Two Cases
We encountered two cases of cervical disc herniation, wherein cerebrospinal fluid collection in the ventral epidural space between the cervical spine and the thoracic spine was noted. The patients, two women aged 71 and 43 years, were diagnosed with cervical disc herniation and underwent anterior ce...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/3439403 |
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| author | Rui Hirasawa Takashi Itabashi Tsuneji Kita Chikato Mannoji |
| author_facet | Rui Hirasawa Takashi Itabashi Tsuneji Kita Chikato Mannoji |
| author_sort | Rui Hirasawa |
| collection | DOAJ |
| description | We encountered two cases of cervical disc herniation, wherein cerebrospinal fluid collection in the ventral epidural space between the cervical spine and the thoracic spine was noted. The patients, two women aged 71 and 43 years, were diagnosed with cervical disc herniation and underwent anterior cervical discectomy and fusion. Unexpected cerebrospinal fluid leakage was observed prior to exposure of the dura mater. Notably, the dura mater was intact following the removal of the herniated disc in both cases. No cerebrospinal fluid leakage symptoms were observed, and relief from the neurological symptoms related to the cervical disc herniation was observed in both cases following the surgery. Findings of preoperative magnetic resonance imaging and computed tomography myelography were carefully reviewed, retrospectively. Both patients presented with similar features including expansion of cerebrospinal fluid collection in the ventral epidural space between the cervical spine and the thoracic spine. These observed features were similar to those of superficial siderosis, which is a form of duropathy—a disease caused by dural defects. Therefore, the patients in this case study might have a subclinical duropathy with associated cervical disc herniation. |
| format | Article |
| id | doaj-art-27a082a3bbed4ff29d6a3793c92d4af7 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-27a082a3bbed4ff29d6a3793c92d4af72025-08-20T03:54:41ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/34394033439403Ventral Longitudinal Intraspinal Fluid Collection in Patients with Cervical Disc Herniation: A Report of Two CasesRui Hirasawa0Takashi Itabashi1Tsuneji Kita2Chikato Mannoji3Department of Orthopedic Surgery, Japanese Red Cross Narita Hospital, 90-1, Iidacho, Narita-shi, Chiba 286-8523, JapanDepartment of Orthopedic Surgery, Japanese Red Cross Narita Hospital, 90-1, Iidacho, Narita-shi, Chiba 286-8523, JapanDepartment of Orthopedic Surgery, Japanese Red Cross Narita Hospital, 90-1, Iidacho, Narita-shi, Chiba 286-8523, JapanDepartment of Orthopedic Surgery, Japanese Red Cross Narita Hospital, 90-1, Iidacho, Narita-shi, Chiba 286-8523, JapanWe encountered two cases of cervical disc herniation, wherein cerebrospinal fluid collection in the ventral epidural space between the cervical spine and the thoracic spine was noted. The patients, two women aged 71 and 43 years, were diagnosed with cervical disc herniation and underwent anterior cervical discectomy and fusion. Unexpected cerebrospinal fluid leakage was observed prior to exposure of the dura mater. Notably, the dura mater was intact following the removal of the herniated disc in both cases. No cerebrospinal fluid leakage symptoms were observed, and relief from the neurological symptoms related to the cervical disc herniation was observed in both cases following the surgery. Findings of preoperative magnetic resonance imaging and computed tomography myelography were carefully reviewed, retrospectively. Both patients presented with similar features including expansion of cerebrospinal fluid collection in the ventral epidural space between the cervical spine and the thoracic spine. These observed features were similar to those of superficial siderosis, which is a form of duropathy—a disease caused by dural defects. Therefore, the patients in this case study might have a subclinical duropathy with associated cervical disc herniation.http://dx.doi.org/10.1155/2020/3439403 |
| spellingShingle | Rui Hirasawa Takashi Itabashi Tsuneji Kita Chikato Mannoji Ventral Longitudinal Intraspinal Fluid Collection in Patients with Cervical Disc Herniation: A Report of Two Cases Case Reports in Orthopedics |
| title | Ventral Longitudinal Intraspinal Fluid Collection in Patients with Cervical Disc Herniation: A Report of Two Cases |
| title_full | Ventral Longitudinal Intraspinal Fluid Collection in Patients with Cervical Disc Herniation: A Report of Two Cases |
| title_fullStr | Ventral Longitudinal Intraspinal Fluid Collection in Patients with Cervical Disc Herniation: A Report of Two Cases |
| title_full_unstemmed | Ventral Longitudinal Intraspinal Fluid Collection in Patients with Cervical Disc Herniation: A Report of Two Cases |
| title_short | Ventral Longitudinal Intraspinal Fluid Collection in Patients with Cervical Disc Herniation: A Report of Two Cases |
| title_sort | ventral longitudinal intraspinal fluid collection in patients with cervical disc herniation a report of two cases |
| url | http://dx.doi.org/10.1155/2020/3439403 |
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