Non-iatrogenic spontaneous acute spinal subdural haematoma after transforaminal lumbar interbody fusion
| Autor: | Ahmed Aly, Daniel D'aquino, Eman M. Khedr, Masood Shafafy, Olakunle Badmus |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Photophobia business.industry Neurological status Subdural haematoma General Medicine Spinal subdural haematoma medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Lumbar interbody fusion Radicular pain 030220 oncology & carcinogenesis Medicine Neurology (clinical) medicine.symptom Lumbar microdiscectomy business Complication 030217 neurology & neurosurgery |
| Zdroj: | British Journal of Neurosurgery. :1-3 |
| ISSN: | 1360-046X 0268-8697 |
| DOI: | 10.1080/02688697.2019.1710823 |
| Popis: | Purpose: Reporting a rare case of a non-iatrogenic spontaneously resolved spinal subdural haematoma (SSDH) following revision of transforaminal lumbar interbody fusion (TLIF) and its possible explanation.Methods: Case report of a 40-year-old man with a history of persistent lower back and left lower extremity radicular pain, secondary to recurrent disc prolapse, lumbar spondylosis with foraminal stenosis. He underwent an L5/S1 transforaminal interbody fusion via a right sided approach (through previous lumbar microdiscectomy incision). On post-operative day two, the patient developed headache and photophobia that were discovered to be secondary to an acute thoracolumbar subdural haematoma with no objective neurological deficit.Results: After close observation of his neurological status and conservative management of the subdural haematoma, the patient fully recovered from his symptoms and remained problem-free at 2-year follow-up.Conclusions: Although the occurrence of acute spinal subdural haematoma after spinal surgery is a rare complication following spinal surgery, its appropriate management relies on early recognition if significant morbidity is to be avoided. |
| Databáze: | OpenAIRE |
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