Cerebellar tonsillar descent: A diagnostic dilemma between Chiari malformation type 1 and spinal cerebrospinal fluid leak
In: Heliyon, Jg. 7 (2021), Heft 4, S. e06795-
Online
academicJournal
Zugriff:
Cerebellar tonsillar descent can be seen on head magnetic resonance imaging in both Chiari malformation type 1 and spinal cerebrospinal fluid leak creating the potential for misdiagnosis. We report five cases of spinal cerebrospinal fluid leak at Stanford University initially misdiagnosed and treated as Chiari malformation type 1 based on cerebellar tonsillar descent demonstrated on imaging. All five cases had sustained relief at the 6-month follow up visit from epidural blood patches for the treatment of spinal cerebrospinal leak after unsuccessful suboccipital decompression surgeries. A misdiagnosis of Chiari malformation type 1 in patients with spinal cerebrospinal fluid leak may lead to unnecessary surgeries instead of the less invasive treatment, such as epidural blood patches. It is imperative to consider a spinal cerebrospinal fluid leak in the differential based on clinical-radiological correlation and not solely on cerebellar tonsillar descent demonstrated on imaging.
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Cerebellar tonsillar descent: A diagnostic dilemma between Chiari malformation type 1 and spinal cerebrospinal fluid leak
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Autor/in / Beteiligte Person: | Tommy Lik Hang Chan ; Vuong, Kiven ; Chugh, Tara ; Carroll, Ian |
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Zeitschrift: | Heliyon, Jg. 7 (2021), Heft 4, S. e06795- |
Veröffentlichung: | Elsevier, 2021 |
Medientyp: | academicJournal |
ISSN: | 2405-8440 (print) |
DOI: | 10.1016/j.heliyon.2021.e06795 |
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