{
  "abstract": "A 49-year-old woman developed symptoms of syringomyelia 3 years after having presented with spontaneous intracranial hypotension (SIH). She had previously undergone two unsuccessful non-targeted epidural blood patches. The MR scan showed features of cervicothoracic syringomyelia and ongoing intracranial features of SIH. Following two further ineffective non-targeted epidural blood patches, a cerebrospinal fluid venous fistula was identified on myelography, which was surgically disconnected. At subsequent follow-up, she showed marked and progressive clinical and radiological improvement. This case shows that offering curative treatment for the underlying cause of SIH is an effective—and the preferred—way of managing SIH-associated syrinx.",
  "authors": [
    {
      "affiliations": [
        "Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK"
      ],
      "name": "David Rowland"
    },
    {
      "affiliations": [
        "Headache and Facial Pain Group, University College London Queen Square Institute of Neurology, London, UK"
      ],
      "name": "Dwij Mehta"
    },
    {
      "affiliations": [
        "Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, UK"
      ],
      "name": "Ayman Qureshi"
    },
    {
      "affiliations": [
        "Lysholm Department of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, UK"
      ],
      "name": "Indran Davagnanam"
    },
    {
      "affiliations": [
        "Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK"
      ],
      "name": "Ahmed K Toma"
    },
    {
      "affiliations": [
        "Victor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK"
      ],
      "name": "Parag Sayal"
    },
    {
      "affiliations": [
        "Headache and Facial Pain Group, University College London Queen Square Institute of Neurology, London, UK"
      ],
      "name": "Manjit Matharu"
    }
  ],
  "title": "Syrinx in spontaneous intracranial hypotension treated by surgical disconnection of CSF venous fistula",
  "uid": "fcd7e1a7-d06a-53bf-8cd4-97e409ad53ba"
}