Subdural hematoma after microdiscectomy: a case report and review of the literature. Export

@article{citeulike:5362583, abstract = {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.}, author = {Beier, Alexandra D. and Soo, Teck M. and Claybrooks, Roderick}, citeulike-article-id = {5362583}, citeulike-linkout-0 = {http://dx.doi.org/10.1016/j.spinee.2009.06.012}, citeulike-linkout-1 = {http://linkinghub.elsevier.com/retrieve/pii/S1529943009002861}, citeulike-linkout-2 = {http://view.ncbi.nlm.nih.gov/pubmed/19643678}, citeulike-linkout-3 = {http://www.hubmed.org/display.cgi?uids=19643678}, day = {29}, doi = {10.1016/j.spinee.2009.06.012}, issn = {1878-1632}, journal = {The spine journal : official journal of the North American Spine Society}, keywords = {complication, disc, surgery}, month = {October}, number = {10}, posted-at = {2009-10-04 21:39:21}, priority = {2}, title = {Subdural hematoma after microdiscectomy: a case report and review of the literature.}, url = {http://dx.doi.org/10.1016/j.spinee.2009.06.012}, volume = {9}, year = {2009} }

TY - JOUR ID - citeulike:5362583 L3 - citeulike-article-id:5362583 N2 - 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. IS - 10 JF - The spine journal : official journal of the North American Spine Society SN - 1878-1632 TI - Subdural hematoma after microdiscectomy: a case report and review of the literature. VL - 9 KW - complication KW - disc KW - surgery AU - Beier, Alexandra AU - Soo, Teck AU - Claybrooks, Roderick PY - 2009/10/29/ UR - http://dx.doi.org/10.1016/j.spinee.2009.06.012 ER -