Osman KİPOĞLU, Burçin Nazlı KARACABEY, Orhan COŞKUN, Mehmet BARBUROĞLU, Edibe PEMBEGÜL YILDIZ, Nur AYDINLI, Mine ÇALIŞKAN

Adölesan Bir Erkekte Ağır Yük Kaldımayı Takiben Oluşan Beyin Omurilik Sıvısı Kaçağı

Bu olgu sunumunda, ağır yük kaldırdıktan sonra alt ekstremitelerinde yeni başlayan güçsüzlük olan adölesan bir erkek hastayı sunuyoruz. Spinal manyetik rezonans görüntülemede (MRG) T2 sekansında lomber ve torakal bölgede beyin omurilik sıvısı (BOS) sızıntısı görüldü. Takip eden dönemde ortostatik baş ağrısı ana semptomdu. Yatak istirahati ve sıvı replasmanı sonrası hastanın semptomları tamamen düzeldi.

Anahtar Kelimeler:

Beyin omurilik sıvısı sızıntısı, ağır yük kaldırma, intrakraniyal hipotansiyon

Cerebrospinal Fluid Leakage in an Adolescent-Male Following Heavy Lifting

In this case we report on an adolescent male with new onset weakness of the low extremities after heavy load lifting. Spinal magnetic resonance imaging (MRI) demonstrated cerebrospinal fluid (CSF) leakage in the lumbar and thoracal region in the T2 sequence. Orthostatic headache was the main symptom in the following period. After bed rest and fluid replacement, the patient’s symptoms completely recovered.

Keywords:

Cerebrospinal fluid leakage, heavy load lifting, orthostatic headache,

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1. Podkovik S, Kashyap S, Bonda S, Bowen I, Calayag M. Spontaneous Intracranial Hypotension: Case Study and Review of the Literature. Cureus 2020;12(2): e7018. Published 2020 Feb 17. doi:10.7759/ cureus.7018. google scholar
2. Sun X, Sun C, Liu X, Liu Z, Qi Q, Guo Z, et al. The frequency and treatment of dural tears and cerebrospinal fluid leakage in 266 patients with thoracic myelopathy caused by ossification of the ligamentum flavum. Spine (Phila Pa 1976) 2012;37(12):E702-7. doi:10.1097/BRS.0b013e31824586a8. google scholar
3. Choi JE, Chang JY, Shin JY, Cheon JE. CSF leakage after diagnostic lumbar puncture: case reports. Clin Pediatr (Phila) 2004;43(8):769- 771. doi:10.1177/000992280404300813. google scholar
4. Lee SE, Chung CK, Jahng TA, Kim CH. Dural tear and resultant cerebrospinal fluid leaks after cervical spinal trauma. Eur Spine J 2014;23(8):1772-1776. doi:10.1007/s00586-014-3332-9. google scholar
5. Schievink WI, Meyer FB, Atkinson JL, Mokri B. Spontaneous spinal cerebrospinal fluid leaks and intracranial hypotension. J Neurosurg 1996;84(4):598-605. doi:10.3171/jns.1996.84.4.0598. google scholar
6. Chan SM, Chodakiewitz YG, Maya MM, Schievink WI, Moser FG. Intracranial Hypotension and Cerebrospinal Fluid Leak. Neuroimaging Clin N Am 2019;29(2):213-226. doi: 10.1016/j. nic.2019.01.002. google scholar
7. Wang YF, Fuh JL, Lirng JF, Chen SP, Hseu SS, Wu JC, et al. Cerebrospinal fluid leakage and headache after lumbar puncture: a prospective non-invasive imaging study. Brain 2015;138(Pt 6):1492-8. doi:10.1093/brain/awv016. google scholar
8. Koch BL, Moosbrugger EA, Egelhoff JC. Symptomatic spinal epidural collections after lumbar puncture in children. AJNR Am J Neuroradiol 2007;28(9):1811-6. doi: 10.3174/ajnr.A0634. google scholar
9. Amini A, Liu JK, Kan P, Brockmeyer DL. Cerebrospinal fluid dissecting into spinal epidural space after lumbar puncture causing cauda equina syndrome: review of literature and illustrative case. Childs Nerv Syst 2006;22(12):1639-41. doi: 10.1007/s00381-006-0204-6. google scholar
10. Schievink WI, Ebersold MJ, Atkinson JL. Roller-coaster headache due to spinal cerebrospinal fluid leak. Lancet 1996;347(9012):1409. doi: 10.1016/s0140-6736(96)91048-x. google scholar