Cerebrospinal fluid leak fever2/29/2024 In both patients, the clinical evolution was favorable under conservative treatment. An extensive extradural CSF collection, spanning the cervicothoracic region (C4–T10), was described in the second case. In the first case, a bone fragment pierced an incidental congenital meningocele creating a dural fistula. We describe two patients admitted to our hospital for severe headaches aggravated in the orthostatic position, with a recent history of minor trauma and sustained physical effort, respectively. Most meningeal lesions are found in the cervicothoracic region, followed by the thoracic region, and rarely in the lumbar region, and extremely rarely in the sacral region. Minor traumatic events rarely lead to CSF leakage, contrasting with iatrogenic interventions such as a lumbar puncture or spinal surgery, which are commonly complicated by dural tears.
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