Cerebrospinal fluid fistula complications

The underlying cause of spontaneous intracranial hypotension is usually a spontaneous cerebrospinal fluid fistula, however, some cases may be due to low cerebrospinal fluid volume. Evidence supports an underlying weakness of the meninges as a contributing factor; for instance, connective tissue disorders like Marfan syndrome, and Ehlers-Danlos syndrome.


Meningitis

Pneumocephalus occurs in ≈ 20% of patients with Cerebrospinal fluid fistulas 1)

A spinal Cerebrospinal fluid fistula can result in an intracranial subdural hygroma 2).


1)
Bakay L. Head Injury. Boston: Little Brown; 1980
2)
Lin GX, Chen CM, Kim JS, Song KS. The Transformation of Intracranial Subdural Hygroma to Chronic Subdural Hematoma Following Endoscopic Spinal Surgery: A Case Report. J Neurol Surg A Cent Eur Neurosurg. 2021 Jul 14. doi: 10.1055/s-0041-1723812. Epub ahead of print. PMID: 34261140.
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