Document Detail

Spinal subdural hematoma following craniotomy: case report.
MedLine Citation:
PMID:  14985009     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Spinal subdural hematomas (SSH) are a rare cause of spinal cord compression. SSH following clipping of an aneurysm has only been reported once. We now report such a case and discuss the mechanism of SSH development after aneurysmal neck clipping. CASE DESCRIPTION: A 32-year-old man complained of lumbago 7 days after craniotomy for the clipping of an aneurysm. Neurologic examination revealed no abnormality, but magnetic resonance imaging (MRI) demonstrated a lumbosacral spinal subdural hematoma. He received conservative management and his lumbago showed improvement. An MRI taken 19 days after surgery revealed a residual hematoma. CONCLUSION: The downward movement of blood from the cranial subdural compartment under the influence of gravity is the most appropriate explanation for SSH following craniotomy.
Myoung Soo Kim; Chun Kee Chung; Jin Woo Hur; Jong-Won Lee; Su-Ok Seong; Hyun Koo Lee
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Surgical neurology     Volume:  61     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-02-26     Completed Date:  2004-03-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  288-92     Citation Subset:  IM    
Department of Neurosurgery, Cheongju, South Korea.
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MeSH Terms
Follow-Up Studies
Hematoma, Subdural / diagnosis*
Intracranial Aneurysm / diagnosis,  surgery*
Low Back Pain / etiology*
Lumbar Vertebrae / pathology
Magnetic Resonance Imaging
Postoperative Complications / diagnosis*
Spinal Cord Compression / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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