{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T18:29:46Z","timestamp":1695061786674},"reference-count":6,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nSpinal cerebrospinal fluid (CSF) venous fistulas are an under-recognized cause for spontaneous intracranial hypotension (SIH) which may result in postural headaches.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 60-year-old-male presented with 6 years of a persistent headache. The initial brain and spine MRIs and conventional CT myelogram (CTM) showed no CSF venous fistula. However, the lateral decubitus dynamic CTM demonstrated a hyperdense paraspinal vein on the right at the T10-11 level consistent with a CSF venous fistula. It was subsequently successfully treated with surgical ligation. Temporary CSF diversion with lumbar drain was required to treat transient rebound intracranial hypertension.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThe diagnosis of a CSF venous fistulas is often missed on standard brain and spine MRI imaging, and conventional CTM. Dynamic CTM is a more effective modality to detect CSF venous fistulas. Surgical ligation is a safe and effective treatment option. Patients with long-standing SIH may encounter rebound intracranial hypertension after CSF venous fistula ligation and may require temporary CSF diversion.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_599_2022","type":"journal-article","created":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T07:49:43Z","timestamp":1660895383000},"page":"374","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cerebrospinal fluid venous fistula: Illustrative case"],"prefix":"10.25259","volume":"13","author":[{"given":"Nathan A.","family":"Shlobin","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane","family":"Shahrestani","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Southern California Keck School of Medicine, Los Angeles, California,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saman","family":"Shabani","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California San Francisco, San Francisco, California, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitin","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California San Francisco, San Francisco, California, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California San Francisco, San Francisco, California, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,8,19]]},"reference":[{"key":"10.25259\/SNI_599_2022\/ref-1","doi-asserted-by":"crossref","first-page":"882","DOI":"10.3174\/ajnr.A7014","article-title":"A novel endovascular therapy for CSF hypotension secondary to CSF-venous fistulas","volume":"42","author":"Brinjikji","year":"2021","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.25259\/SNI_599_2022\/ref-2","doi-asserted-by":"crossref","first-page":"986","DOI":"10.3174\/ajnr.A7018","article-title":"Spinal compliance curves: Preliminary experience with a new tool for evaluating suspected CSF venous fistulas on CT myelography in patients with spontaneous intracranial hypotension","volume":"42","author":"Caton","year":"2021","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.25259\/SNI_599_2022\/ref-3","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.2214\/AJR.17.18351","article-title":"CSF venous fistulas in spontaneous intracranial hypotension: Imaging characteristics on dynamic and CT myelography","volume":"209","author":"Kranz","year":"2017","journal-title":"AJR Am J Roentgenol"},{"key":"10.25259\/SNI_599_2022\/ref-4","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1016\/j.wneu.2019.12.075","article-title":"Diagnosis of a cerebrospinal fluid-venous fistula associated with a venous malformation using digital subtraction and computed tomography myelography","volume":"135","author":"Madhavan","year":"2020","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_599_2022\/ref-5","doi-asserted-by":"crossref","first-page":"32","DOI":"10.3174\/ajnr.A6844","article-title":"Decubitus CT myelography for CSF-venous fistulas: A procedural approach","volume":"42","author":"Mamlouk","year":"2021","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.25259\/SNI_599_2022\/ref-6","doi-asserted-by":"crossref","first-page":"764","DOI":"10.3171\/2019.4.SPINE19283","article-title":"False localizing signs of spinal CSF-venous fistulas in spontaneous intracranial hypotension: Report of 2 cases","volume":"31","author":"Schievink","year":"2019","journal-title":"J Neurosurg Spine"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/cerebrospinal-fluid-venous-fistula-illustrative-case\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/cerebrospinal-fluid-venous-fistula-illustrative-case\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T07:49:51Z","timestamp":1660895391000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/cerebrospinal-fluid-venous-fistula-illustrative-case\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,19]]},"references-count":6,"alternative-id":["10.25259\/SNI_599_2022"],"URL":"https:\/\/doi.org\/10.25259\/sni_599_2022","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,19]]},"article-number":"374"}}