Transosseous cerebrospinal fluid fistula 14 years after Chiari decompression: presentation and management.

The authors report a unique case of a transosseous CSF fistula that was detected more than 10 years after treatment of a symptomatic Chiari I malformation. This lesion initially presented as an intraosseous cystic lesion involving the C-2 vertebra, which was found to communicate freely with the subarachnoid space through a tiny dural opening. Surgical management involved hemilaminectomy and repair of the dural defect followed by reinforcement of the bony defect with demineralized bone matrix. Following closure of the fistula, symptoms of elevated intracranial pressure developed, necessitating a ventriculoperitoneal shunt for CSF diversion.

[1]  K. Mahaney,et al.  Intradiploic occipital pseudomeningocele in a patient with remote history of surgical treatment of Chiari malformation. , 2014, Journal of neurosurgery. Spine.

[2]  A. Sencer,et al.  Subarachnoid‐pleural fistula in a child: The cause and treatment , 2012, Pediatrics international : official journal of the Japan Pediatric Society.

[3]  J. Boogaerts,et al.  Subarachnoid-pleural fistula complicating thoracotomy. , 2011, Journal of clinical anesthesia.

[4]  M. Shamji,et al.  Subarachnoid-Pleural Fistula: Applied Anatomy of the Thoracic Spinal Nerve Root , 2011, ISRN surgery.

[5]  A. Morokoff,et al.  An unusual cause of skull and cervical spine masses , 2011, Journal of Clinical Neuroscience.

[6]  E. McCarthy,et al.  Chondrosarcoma of the spine: a series of 16 cases and a review of the literature. , 2011, The Iowa orthopaedic journal.

[7]  Ming-hua Zhu,et al.  [Solitary plasmacytoma of spine: a clinical, radiologic and pathologic study of 13 cases]. , 2009, Zhonghua bing li xue za zhi = Chinese journal of pathology.

[8]  J. Wolinsky,et al.  Chondroma/Chondrosarcoma of the spine. , 2008, Neurosurgery clinics of North America.

[9]  M. Cosar,et al.  Non-traumatic intradiploic arachnoid cyst , 2006, Acta Neurochirurgica.

[10]  D. Patel,et al.  Primary osteogenic sarcoma of the spine , 2004, Skeletal Radiology.

[11]  T. Krings,et al.  [Diagnosis of intraosseous epidermoid of the posterior part of the skull by the diffusion imaging]. , 2003, RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin.

[12]  V. Seifert,et al.  Intradiploic arachnoid cyst with extensive deformation of craniofacial osseous structures: case report. , 1999, Neurosurgery.

[13]  S. Endo,et al.  Nontraumatic Convexity Intradiploic Arachnoid Cyst —Case Report— , 1998 .

[14]  S. Endo,et al.  Nontraumatic convexity intradiploic arachnoid cyst. , 1998, Neurologia medico-chirurgica.

[15]  J. Martínez-Lage,et al.  Posttraumatic intradiploic arachnoid cyst of the posterior fossa , 1997, Child's Nervous System.

[16]  A. Menezes,et al.  Pathogenesis and treatment of growing skull fractures. , 1995, Surgical neurology.

[17]  K. Buehler,et al.  Solitary Lymphangioma of the Spine , 1995, Spine.

[18]  A. Rahmouni,et al.  MR appearance of multiple myeloma of the spine before and after treatment. , 1993, AJR. American journal of roentgenology.

[19]  H. Hasegawa,et al.  Nontraumatic intradiploic arachnoid cysts--report of five cases. , 1992, Neurologia medico-chirurgica.

[20]  I. I. Pollack,et al.  Subarachnoid-pleural and subarachnoid-mediastinal fistulae. , 1990, Neurosurgery.

[21]  M. Weinand,et al.  Intradiploic arachnoid cysts. Report of two cases. , 1989, Journal of neurosurgery.

[22]  J. Roylance,et al.  An unusual intraosseous lesion with fibroblastic, osteoclastic, osteoblastic, aneurysmal and fibromyxoid elements. “Solid” variant of aneurysmal bone cyst , 1983, Cancer.

[23]  R. King,et al.  Intradiploic cerebrospinal fluid fistula. Report of two cases. , 1981, Journal of neurosurgery.

[24]  John H. Jopson,et al.  A REPORT OF TWO CASES , 1902 .