HDCN Article Review/Hyperlink

Schievink WI, Torres VE

Spinal meningeal diverticula in autosomal dominant polycystic kidney disease

Lancet (Apr) 349:1223-1224 1997

Patients with ADPKD may have intracranial aneurysm, hypertensive intracerebral hemorrhage, or cervicocephalic arterial dissection. In the present study (a letter to Lancet) a new cause is identified: meningeal diverticula. Three of 178 ADPKD patients had such diverticula. One presented with a 3-month history of headache and visual blurring. The headache was aggravated by standing but resolved spontaneously. Multiple thoracic level diverticula were present. A second patient presented with low back pain and left leg pain, with a diverticulum at L2-S1. A third patient had a 2 month history of postural headaches and a spinal canal-pleural cyst. (John T. Daugirdas, M.D., University of Illinois at Chicago)