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Spontaneous cerebrospinal fluid leak with venous engorgement mimicking a contrast-enhancing cervical mass

JAMA Neurology. 2016 May 31. DOI: 10.1001/jamaneurol.2016.0277. [Epub ahead of print]

Authors/Editors: Herwerth M, Prothmann, S Kreiser K, Hemmer B, Ploner M.
Publication Date: 2016


Case Report

This case report describes a woman in her early 40s with fluctuating neck pain in whom imaging revealed spontaneous cerebrospinal fluid leakage with engorgement of venous plexus.

A woman in her early 40s presented to the emergency department with a 2-month history of fluctuating neck pain. Neurologic examination findings were unremarkable. Cerebral magnetic resonance imaging (MRI) and cerebrospinal fluid (CSF) examination results were normal. Spinal MRI revealed a contrast-enhancing cervical epidural mass (Figure, C). An inflammatory or neoplastic process was suspected and a biopsy was considered.





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