Document Detail

Subdural hematoma after microdiscectomy: a case report and review of the literature.
MedLine Citation:
PMID:  19643678     Owner:  NLM     Status:  MEDLINE    
BACKGROUND CONTEXT: Subdural hematomas (SDHs) have been described as a rare complication from durotomy after lumbar spine surgery. In half of the reported cases, the durotomy was unnoticed intraoperatively. The most common presenting symptom was persistent headache. PURPOSE: To report a case of SDH after routine microdiscectomy and to review the literature. STUDY DESIGN: Case report and review of the literature. METHODS: Retrospective review of patient's history and imaging studies. RESULTS: A 39-year-old female underwent routine microdiscectomy for L5-S1 herniated disc. There were no complications, and no dural tear was noted. Approximately 1 week postoperatively, the patient complained of severe headaches. Imaging revealed a right intracranial chronic SDH and a lumbar pseudomeningocele. Operative exploration of her lumbar wound revealed a dural tear, which was closed primarily. The patient had subsequent resolution of her SDH. CONCLUSIONS: The authors present a case of a routine microdiscectomy complicated by delayed cerebrospinal leak causing a chronic SDH. This report illustrates the need for a comprehensive evaluation of headaches after spine surgery.
Alexandra D Beier; Teck M Soo; Roderick Claybrooks
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-07-29
Journal Detail:
Title:  The spine journal : official journal of the North American Spine Society     Volume:  9     ISSN:  1878-1632     ISO Abbreviation:  Spine J     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-23     Completed Date:  2009-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101130732     Medline TA:  Spine J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e9-e12     Citation Subset:  IM    
Section of Neurosurgery, Providence Hospital and Medical Centers, 16001 W Nine Mile Rd, Southfield, MI 48075, USA.
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MeSH Terms
Diskectomy / adverse effects*
Hematoma, Subdural / etiology*
Intervertebral Disk Displacement / surgery
Postoperative Complications

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

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