The Transformation of Intracranial Subdural Hygroma to Chronic Subdural Hematoma Following Endoscopic Spinal Surgery: A Case Report
| Autor: | Chien-Min Chen, Jin-Sung Kim, Guang-Xun Lin, Kwan-Su Song |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pain 03 medical and health sciences 0302 clinical medicine Lumbar Chronic subdural hematoma medicine Humans 030212 general & internal medicine Major complication Aged 80 and over Lumbar Vertebrae business.industry Lumbar spinal stenosis medicine.disease Low back pain Subdural Effusion Spinal surgery Intermittent claudication Surgery Subdural hygroma Hematoma Subdural Chronic Female Lymphangioma Cystic Neurology (clinical) medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Neurological Surgery Part A: Central European Neurosurgery. 83:502-506 |
| ISSN: | 2193-6323 2193-6315 |
| DOI: | 10.1055/s-0041-1723812 |
| Popis: | Background We present the case of an intracranial subdural hygroma resulting from intraoperatively undetected dural tear after unilateral biportal endoscopic (UBE) spine surgery for lumbar spinal stenosis. Case Description An 80-year-old woman presented with insidious onset, gradually progressing low back pain, and right leg pain of 1-year duration. The pain radiated to the right L4–L5 dermatomes. Neurogenic intermittent claudication was No major complications were encountered during the operation. But soon we found out that there was an undiscovered dura tear. We placed the patient under close observation for 2 weeks. After 30 days, we confirmed that subdural hygroma had changed to chronic subdural hematoma. Conservative treatment was continued. On postoperative day 90), the condition was stable and the symptoms improved completely. Conclusions We concluded that a spinal cerebrospinal fluid leakage can result in an intracranial subdural hygroma. Intracranial subdural hygromas and hematomas after lumbar spinal surgery should be cautiously assessed and treated. |
| Databáze: | OpenAIRE |
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