Miyazaki Syndrome due to Ventriculoperitoneal Shunt Treatment
The signs and pathomechanism of Miyazaki syndrome is presented through the case of a young female patient. The patient underwent placement of a ventriculoperitoneal (VP) shunt with a pressure-adjustable valve for communicating hydrocephalus years before presenting to our department with the complain...
Elmentve itt :
| Szerzők: | |
|---|---|
| Dokumentumtípus: | Cikk |
| Megjelent: |
2018
|
| Sorozat: | WORLD NEUROSURGERY
116 |
| Tárgyszavak: | |
| doi: | 10.1016/j.wneu.2018.05.032 |
| mtmt: | 3374648 |
| Online Access: | http://publicatio.bibl.u-szeged.hu/22619 |
| Tartalmi kivonat: | The signs and pathomechanism of Miyazaki syndrome is presented through the case of a young female patient. The patient underwent placement of a ventriculoperitoneal (VP) shunt with a pressure-adjustable valve for communicating hydrocephalus years before presenting to our department with the complaints of constant headache and unsteady gait. On the basis of the clinical picture and her history, plain and contrast-enhanced cranial and whole spine magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) examinations were performed, with the scans revealing signs indicative of cerebrospinal fluid (CSF) hypotension typical of Miyazaki syndrome. The paper discusses the available literature suggesting the underlying cause in such cases to be the dysfunction of the Starling resistor mechanism due to an improperly adjusted VP shunt, which results in excessive CSF loss accompanied by consequent cerebral venous overflow with vertebral venous engorgement and compressive cervical myelopathy. |
|---|---|
| Terjedelem/Fizikai jellemzők: | 29-34 |
| ISSN: | 1878-8750 |