Cervical epidural venous engorgement after cerebrospinal fluid shunting: clinical-radiological correlation and systematic review.
Gianluca Scalia, Rosalba Pitoia, Roberta Finocchiaro et al.
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Case in brief
A 73-year-old patient developed acute cervical epidural venous engorgement and hematoma following ventriculoperitoneal shunting for normal pressure hydrocephalus. The patient presented with progressive cervical myelopathy, but without the typical symptoms of intracranial hypotension. After valve reprogramming to correct overdrainage, the patient's condition improved completely.
Diagnostic / clinical pearl
Cervical epidural venous engorgement can occur after CSF shunting and may present with myelopathy, often without typical signs of intracranial hypotension. Early recognition and management of CSF dynamics are crucial.