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MRI revealed a cervical myelomalacia caused by engorged epidural veins leading to a stenosis of the spinal canal. This condition is rarely described in patients with hydrocephalus and ventricular shunts suffering from chronic overdrainage. However, the reason in this patient was a CSF leak caused by an intradural disc herniation at T12\/L1. After surgery, symptoms resolved and the cervical <jats:underline>myelomalacia<\/jats:underline> and the swollen epidural veins disappeared on postoperative MRI.\nIn patients with engorged cervical epidural veins without a ventricular shunt, a CSF leak has to be considered.<\/jats:p>","DOI":"10.1007\/s00415-020-10247-1","type":"journal-article","created":{"date-parts":[[2020,10,3]],"date-time":"2020-10-03T20:02:28Z","timestamp":1601755348000},"page":"3421-3424","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Case report of a cervical myelomalacia caused by a thoracolumbar intradural disc herniation leading to intracranial hypotension"],"prefix":"10.1007","volume":"267","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7591-6468","authenticated-orcid":false,"given":"M.","family":"Ueberschaer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Patzig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Mueller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Schwarting","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Trabold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.-C.","family":"Tonn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,10,3]]},"reference":[{"key":"10247_CR1","first-page":"19","volume":"53","author":"A Barbanera","year":"2009","unstructured":"Barbanera A, Serchi E, Fiorenza V, Nina P, Andreoli A (2009) Giant calcified thoracic herniated disc: considerations aiming a proper surgical strategy. 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