Intracranial hypotension secondary to a spontaneous cervical nerve root leak repaired using a chimeric rotational paraspinal flap: a multidisciplinary surgical approach. Illustrative case
A multidisciplinary surgical approach utilizing a chimeric rotational paraspinal flap to repair a spontaneous cervical CSF leak at the right C8 nerve root provided robust, vascularized coverage with resolution of SIH signs and symptoms. This flap-based technique offers a durable solution for challenging CSF leaks. https://thejns.org/doi/10.3171/CASE25698.
Authors
- Neil Mundi (ORCID: https://orcid.org/0000-0001-9328-8266)
- Jacopo Berardinelli (ORCID: https://orcid.org/0000-0002-3920-2588)
- Russ P. Nockels
- Amin Kassam
- Hannah L Walsh
- Melanie Fukui
- Russel T. Wagner
Institutions
- Northwest Community Hospital (US)
- Federico II University Hospital (IT)
- University of Naples Federico II (IT)
Publication Details
- Journal
- Journal of Neurosurgery Case Lessons
- Published
- 2026-03-16
- DOI
- https://doi.org/10.3171/case25698
- Primary Topic
- Neurosurgical Procedures and Complications
- Type
- article
- Field-Weighted Citation Impact
- 0.00