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Bibrachial amyotrophy and ventral spinal cyst associated with myelomalacia and intracranial hypertension
Institution:1. Department of Neurology, Auckland City Hospital, Park Road, Grafton, Auckland, New Zealand;2. Department of Neuro-radiology, Auckland City Hospital, Auckland, New Zealand;1. University of Virginia, Department of Neurological Surgery, P.O. Box 800212, Charlottesville, VA 22908, USA;2. Advocate Medical Group, Department of Neurointerventional Surgery, Park Ridge, IL, USA;3. University of Virginia, Department of Radiology, Charlottesville, VA, USA;1. Division of Pediatric Neurology, Department of Neurology, University of Washington, Seattle, Washington;2. Division of Genetic Medicine, Department of Pediatrics, University of Washington, Seattle, Washington;1. Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, 55 Fruit Street, White Building Room 502, Boston, MA 02114, USA;2. Department of Neurosurgery, Brigham and Women’s Hospital, Boston, MA, USA;3. Departments of Neuroradiology and Neurosurgery, Brigham and Women’s Hospital, Boston, MA, USA;4. Department of Neurology, Brigham and Women’s Hospital, Boston, MA, USA;5. Department of Neurological Surgery, UPMC Presbyterian Hospital, Pittsburgh, PA, USA;1. Department of Otolaryngology-Head and Neck Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ, USA;2. Department of Neurological Surgery, Neurological Institute of New Jersey, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, 90 Bergen Street, Suite 8100, Newark, NJ 07103, USA;3. Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, Department of Neurological Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, 185 S Orange Avenue, Newark, NJ 07103, USA;1. Department of Neurology, First Affiliated Hospital, Guangxi Medical University, No. 22, Shuang Yong Lu, Nanning 530021, Guangxi, China;2. Department of Cardiothoracic Surgery, Nanchong Central Hospital, The Second Clinical College of North Sichuan Medical College, Nanchong, Sichuan, China;3. Department of Anesthesiology, Nanchong Central Hospital, The Second Clinical College of North Sichuan Medical College, Nanchong, Sichuan, China;1. Neurology Unit, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India;2. Department of Pediatrics, Lady Hardinge Medical College, New Delhi, India;3. Rainbow Children’s Hospital and Perinatal Centre, Hyderabad, India;4. Division of Pediatric Neurology, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar East, New Delhi, DL 110029, India
Abstract:It has been recently recognised that patients with ventral intraspinal fluid collections secondary to cerebrospinal fluid leaks can present with bibrachial amyotrophy or mimic Hirayama disease. Here we present two further patients that expand the clinical spectrum of this disorder to include association with myelomalacia and intracranial hypertension.
Keywords:Bibrachial amyotrophy  Intracranial hypertension  Myelomalacia  Ventral spinal cyst
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