颈骨赘是自发性颅内低压合并双侧硬膜下血肿的罕见病因：病例报告和文献综述
Cervical Osteophyte as a Rare Etiology of Spontaneous Intracranial Hypotension With Bilateral Subdural Hematomas: A Case Report and Literature Review.
摘要(中文译文)
自发性颅内低压（SIH）是一种通常由隐匿性脑脊液（CSF）漏引起的临床综合征，而颈椎骨赘作为其主要病因则极为罕见。本报告描述了一名41岁男性患者，表现为持续两个月的头痛、头晕及急性意识模糊状态。初始影像学检查显示双侧硬膜下血肿，随后脑部和脊柱磁共振成像（MRI）发现弥漫性脑膜强化及由局灶性骨赘引起的C7-T1水平1型脑膜破损。患者成功接受了分两阶段的手术干预，包括颈椎前路椎间盘切除融合术（ACDF）以修复硬膜缺损，随后行血肿清除术。术后恢复顺利，六个月随访证实颅内异常完全消退，功能完全恢复至基线水平。本病例强调，对于持续性头痛患者，SIH应始终作为诊断考虑之一，并强调识别机械性脊柱触发因素（如骨赘）的重要性，以确保确定性手术修复和最佳的神经功能预后。
Abstract
Spontaneous intracranial hypotension (SIH) is a clinical syndrome typically resulting from occult cerebrospinal fluid (CSF) leaks, though a cervical bone spur as the primary etiology is an exceptionally rare occurrence. This report describes a 41-year-old male patient who presented with a two-month history of persistent headaches, dizziness, and an acute confusional state. Initial imaging revealed bilateral subdural hematomas, while subsequent magnetic resonance imaging (MRI) of the brain and spine identified diffuse meningeal enhancement and a type 1 meningeal breach at the C7-T1 level caused by a focal osteophyte. The patient underwent a successful two-stage surgical intervention involving an anterior cervical discectomy and fusion (ACDF) to repair the dural defect, followed by the evacuation of the hematomas. Post-operative recovery was uneventful, with a six-month follow-up confirming the complete resolution of intracranial abnormalities and a full return to functional baseline. This case emphasizes that SIH should remain a diagnostic consideration in patients with persistent headaches and underscores the importance of identifying mechanical spinal triggers, such as osteophytes, to ensure definitive surgical repair and optimal neurological outcomes.
如何引用
AMA
Fatima El Kartit, Daniel Yamba Yamba, Jihad Mortada, Robin Srour. Cervical Osteophyte as a Rare Etiology of Spontaneous Intracranial Hypotension With Bilateral Subdural Hematomas: A Case Report and Literature Review.. Cureus. 2026; doi:10.7759/cureus.106674.
APA
Fatima El Kartit, Daniel Yamba Yamba, Jihad Mortada, Robin Srour (2026). Cervical Osteophyte as a Rare Etiology of Spontaneous Intracranial Hypotension With Bilateral Subdural Hematomas: A Case Report and Literature Review.. Cureus. https://doi.org/10.7759/cureus.106674
GB/T 7714
Fatima El Kartit, Daniel Yamba Yamba, Jihad Mortada, Robin Srour. Cervical Osteophyte as a Rare Etiology of Spontaneous Intracranial Hypotension With Bilateral Subdural Hematomas: A Case Report and Literature Review.[J]. Cureus, 2026 doi:10.7759/cureus.106674.
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