Document Detail


Subdural hematoma after microdiscectomy: a case report and review of the literature.
MedLine Citation:
PMID:  19643678     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Alexandra D Beier; Teck M Soo; Roderick Claybrooks
Related Documents :
22737678 - Postpartum ovarian vein thrombophlebitis: report of a case and review of the literature.
21277068 - Clinical and radiologic features of desmoplastic ameloblastoma.
19047668 - Necrosis of the skin of the chin: a possible complication of inferior alveolar nerve bl...
9224918 - Cerebrospinal fluid hydrothorax caused by transdiaphragmatic migration of a ventriculop...
8370138 - Deoxycorticosterone, 11 beta-hydroxylase and the adrenal cortex.
564298 - Treatment of post-pill amenorrhea.
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    
Affiliation:
Section of Neurosurgery, Providence Hospital and Medical Centers, 16001 W Nine Mile Rd, Southfield, MI 48075, USA. alexandra.beier@gmail.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Diskectomy / adverse effects*
Female
Hematoma, Subdural / etiology*
Humans
Intervertebral Disk Displacement / surgery
Postoperative Complications

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


Previous Document:  The prevention of discitis during discography.
Next Document:  Single photon emission computerized tomography (SPECT) scan-positive facet joints and other spinal s...