Resolution of spontaneous intracranial hypotension due to a spinal CSF-venous fistula after a dynamic myelogram: illustrative case.

Natalie Bales; Ivo Peto; Kunal Vakharia; Erik Hayman

doi:10.3171/case25194

March 23, 2026

Resolution of spontaneous intracranial hypotension due to a spinal CSF-venous fistula after a dynamic myelogram: illustrative case.

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Key Points

The aim is to illustrate the spontaneous resolution of intracranial hypotension due to a spinal CSF-venous fistula after treatment.
Illustrative case report involving a dynamic myelogram
High-volume CSF drainage
Assessment of transfistula gradient changes
Intracranial hypotension resolved spontaneously after treatment
High viscosity of contrast material aided in resolution
Decrease in transfistula gradient contributed to recovery

Implication

An illustrative case reports resolution of intracranial hypotension following diagnostic CSF drainage, indicating potential for spontaneous recovery.

Abstract

CVFs can potentially resolve spontaneously after high-volume CSF drainage during a diagnostic spinal myelogram due to the high viscosity of contrast material in addition to a decrease in transfistula gradient. https://thejns.org/doi/10.3171/CASE25194.

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Cite This Study

Bales et al. (2026) studied this question.

synapsesocial.com/papers/69c4ccaffdc3bde448918153 https://doi.org/10.3171/case25194

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Resolution of spontaneous intracranial hypotension due to a spinal CSF-venous fistula after a dynamic myelogram: illustrative case.

Key Points

Implication

Abstract

Discussion

Cite This Study

Resolution of spontaneous intracranial hypotension due to a spinal CSF-venous fistula after a dynamic myelogram: illustrative case.

Key Points

Implication

Abstract

Discussion

Cite This Study

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