Subdural Hematoma Related to Dural Tear During Lumbar Spine Surgery: A Case Report and Review of the Literature

2020 ◽  
Vol 68 (4) ◽  
pp. 903
Author(s):  
Kadir Oktay
2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Stephen M. Pirris ◽  
Eric W. Nottmeier

Symptomatic pneumocephalus is a rare complication of degenerative lumbar spine surgery. This is a case report of a patient who developed transient diplopia associated with pneumocephalus following lumbar spine surgery complicated by a dural tear. The diplopia improved as the pneumocephalus resolved. Factors involved in the development of pneumocephalus include an unintended durotomy and intraoperative reverse Trendelenburg positioning that was utilized to decrease the risk of postoperative vision loss. When encountering cerebrospinal fluid (CSF) leakage intraoperatively, spine surgeons should level the operating table until closure of the dural defect to prevent potential complications associated with pneumocephalus. If postoperative patients complain of severe headaches or display a focal cranial neurologic deficit, then a computed tomography (CT) scan of the brain should be ordered and evaluated. Consulting neurologists should be aware of the circumstances surrounding this rare complication.


2008 ◽  
Vol 57 (4) ◽  
pp. 563-566 ◽  
Author(s):  
Tetsuya Tanaka ◽  
Taichi Saito ◽  
Isao Saikawa ◽  
Tsutomu Irie ◽  
Junya Ogata ◽  
...  

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