Multi-level disruption of the spinal nerve boot sleeves in spontaneous spinal cerebrospinal fluid leakage

Koji Yoshimoto, I. Takeshita, T. Inoue, T. Yamaguchi, M. Ohta, K. Matsumoto

Research output: Contribution to journalReview article

4 Citations (Scopus)

Abstract

A 37-year-old male and an 18-year-old male presented with spontaneous spinal cerebrospinal fluid (CSF) leakage from multiple nerve root sleeves. Both patients suffered abrupt onset of intense headache followed by nausea, dizziness, and one patient with and one without positional headache. Radioisotope spinal cisternography of both patients revealed that the CSF leaks were not localized in a special zone but distributed to multiple spinal nerve root sleeves. Magnetic resonance (MR) myelography suggested that the spinal CSF column was fully expanded to the root sleeves. The extraspinal nerve bundles demonstrated numerous high intensity spots. Both patients were treated conservatively, and their symptoms resolved within one month. Repeat radioisotope cisternography and MR myelography confirmed the spine was normal after recovery. We suggest that spreading disruption of the arachnoid membrane occurs at the nerve root sleeves due to CSF overflow into the spinal canal.

Original languageEnglish
Pages (from-to)154-159
Number of pages6
JournalNeurologia Medico-Chirurgica
Volume41
Issue number3
DOIs
Publication statusPublished - Apr 23 2001

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Spinal Nerves
Myelography
Radioisotopes
Headache
Cerebrospinal Fluid
Magnetic Resonance Spectroscopy
Arachnoid
Spinal Canal
Spinal Nerve Roots
Dizziness
Nausea
Spine
Membranes
Cerebrospinal Fluid Leak

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Multi-level disruption of the spinal nerve boot sleeves in spontaneous spinal cerebrospinal fluid leakage. / Yoshimoto, Koji; Takeshita, I.; Inoue, T.; Yamaguchi, T.; Ohta, M.; Matsumoto, K.

In: Neurologia Medico-Chirurgica, Vol. 41, No. 3, 23.04.2001, p. 154-159.

Research output: Contribution to journalReview article

Yoshimoto, K, Takeshita, I, Inoue, T, Yamaguchi, T, Ohta, M & Matsumoto, K 2001, 'Multi-level disruption of the spinal nerve boot sleeves in spontaneous spinal cerebrospinal fluid leakage', Neurologia Medico-Chirurgica, vol. 41, no. 3, pp. 154-159. https://doi.org/10.2176/nmc.41.154
Yoshimoto, Koji ; Takeshita, I. ; Inoue, T. ; Yamaguchi, T. ; Ohta, M. ; Matsumoto, K. / Multi-level disruption of the spinal nerve boot sleeves in spontaneous spinal cerebrospinal fluid leakage. In: Neurologia Medico-Chirurgica. 2001 ; Vol. 41, No. 3. pp. 154-159.
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