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Neurology, Vol 50, Issue 6 1864-1866, Copyright © 1998 by American Academy of Neurology

ARTICLES

Upper cervical myelopathy associated with low CSF pressure: a complication of ventriculoperitoneal shunt

T Miyazaki, A Chiba, H Nishina, Y Uesaka, H Nakase and I Kanazawa
Department of Neurology, Institute for Brain Research, School of Medicine, University of Tokyo, Japan.

A patient who had undergone ventriculoperitoneal shunting developed upper cervical myelopathy. His CSF pressure was markedly low, and deformation of the spinal cord and shrinkage of the subarachnoid space at the upper cervical level were found in radiologic examinations. Ligation of the shunt tube resulted in almost complete recovery. The effect of excessive drainage may have caused the abnormalities.


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