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

Beier, Alexandra D; Soo, Teck M; Claybrooks, Roderick

doi:10.1016/j.spinee.2009.06.012

Cited by 32 publications

(36 citation statements)

References 19 publications

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“…In contrast, cerebellar or subdural hemorrhage related to spine surgery is of venous origin, and results from stretching of supratentorial bridge veins or cerebellar superior veins that cross the subdural space. 2,3,5,7) Compared with adolescents, the elderly or adults have larger subdural spaces, and so these veins are more vulnerable to stretching injury by intracranial hypotension in the elderly or adults than in adolescents. 2,3,5,7) Therefore, cerebellar or subdural hemorrhage mainly occurs in old or adult patients with no predilection for adolescents.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Supratentorial Epidural Hematomas: a Rare Complication in Adolescent Spine Surgery

Sun

Dou

et al. 2012

Neurol. Med. Chir.(Tokyo)

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Fig. 1 T 2 -weighted magnetic resonance images revealing an intradural well-circumscribed mass displacing the cervical spinal cord dorsally and laterally at the C4 segment. Abstract A 14-year-old girl presented with a rare case of spontaneous bilateral supratentorial epidural hematomas which developed rapidly following cervical surgery. The hematomas presumably resulted from dural dynamics changes secondary to cerebrospinal fluid loss and intracranial hypotension. Intracranial epidural hemorrhage after spinal surgery is extremely uncommon with only one previous case report. Spontaneous intracranial epidural hematoma is an extremely rare complication, but should be considered as a possible complication of spine surgery, especially in adolescents complicated by delayed consciousness and breathing restoration from anesthesia. This case report expands the presently known clinical spectrum of this uncommon complication. 646 CASE REPORT

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Section: Discussionmentioning

confidence: 99%

Bilateral Supratentorial Epidural Hematomas: a Rare Complication in Adolescent Spine Surgery

Sun

Dou

et al. 2012

Neurol. Med. Chir.(Tokyo)

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“…Spine surgery is linked with a wide range of intraoperative complications including wrong-level surgery, nerve root lesion, vascular injury, and dural tearing [1,2]. Dural tear during spinal surgery is not uncommon, with reported incidence rates of 1-17% [1].…”

Section: Introductionmentioning

confidence: 99%

“…Dural tear during spinal surgery is not uncommon, with reported incidence rates of 1-17% [1]. Most common causes of dural tear are thin dura, adhesion of dura, surgical technique, and so on.…”

Section: Introductionmentioning

confidence: 99%

“…Most common causes of dural tear are thin dura, adhesion of dura, surgical technique, and so on. This complication may cause postural headache, nerve root or brainstem herniation, cerebellar dysfunction, or intracranial hemorrhage [1][2][3][4][5]. Intraoperative cerebrospinal fluid (CSF) loss following dural tear may occur unexpectedly due to reasons such as spine surgery, myelography, ventriculoperitoneal shunt placement, epidural anesthesia, spine trauma, etc.…”

Section: Introductionmentioning

confidence: 99%

“…Subsequent development of intracranial and/or intraspinal hypotension may result in postural headache usually lasting for 5 days, nerve root or brainstem herniation, cerebellar dysfunction, photophobia, mental status alteration, and seizure in affected patients [4]. One of the rare fatal complications following CSF leak is formation of intracranial hematoma in different locations including acute subdural hematoma (SDH), epidural hematoma (EDH), and remote cerebellar hemorrhage (RCH) [1][2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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Intracranial hemorrhage following lumbar spine surgery

Khalatbari¹,

Khalatbari²,

Moharamzad³

2012

Eur Spine J

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Background Intracranial hemorrhage is a serious but rare complication of spinal surgery, which can occur in the intracerebral, cerebellar, epidural, or subdural compartment. Purpose To describe patients with intracranial hemorrhage after lumbar spinal surgery and present clinical and diagnostic imaging findings. Methods In this retrospective study, medical records of 1,077 patients who underwent lumbar spinal surgery in our tertiary referral neurosurgery center between January 2003 and September 2010 were studied. The original presentations of the patients before the surgical intervention were herniated lumbar disc, spinal canal stenosis, spondylolisthesis, lumbar spinal trauma, and lumbar spine and epidural tumor. The operations performed consisted of discectomy, multiple level laminectomy, stabilization and fusion, lumbar instrumentation, and lumbar spinal and epidural tumor resection.

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Lumbar spine fusion surgery and stroke: a national cohort study

Chen

Huang

et al. 2012

Eur Spine J

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Purpose To investigate the incidence and risk of stroke after lumbar spinal fusion surgery. Method Study subjects were identified from a nationwide cohort of 1 million people from 2000 to 2005 and were divided into the lumbar spinal fusion group (n = 2,015), who received posterior lumbar spinal fusion surgery, and the comparison group (n = 16,120) composed of age-, sex-, and propensity score-matched control subjects. The matching process was intended to adjust for demographics, comorbidities, and other immeasurable covariates to minimize selection bias. All subjects were followed up for 3 years for stroke, including hemorrhagic and ischemic strokes. Kaplan-Meier and Cox regression analyses were performed. ResultsThe overall incidence rate of stroke in the cohort was 9.99 per 1,000 person-year. The lumbar spinal fusion group was less likely to have any stroke (adjusted hazard ratio (HR) = 0.83, p = 0.293), hemorrhagic stroke (adjusted HR = 0.74, p = 0.739) and ischemic stroke (adjusted HR = 0.81, p = 0.250) than the comparison group, but without significance. Conclusions Three years post-operatively, patients who received lumbar spinal fusion had stroke incidence rates similar to those without surgery. Posterior lumbar spinal fusion surgery is not associated with increased risks for any kind of stroke.

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

Cited by 32 publications

References 19 publications

Bilateral Supratentorial Epidural Hematomas: a Rare Complication in Adolescent Spine Surgery

Bilateral Supratentorial Epidural Hematomas: a Rare Complication in Adolescent Spine Surgery

Intracranial hemorrhage following lumbar spine surgery

Lumbar spine fusion surgery and stroke: a national cohort study

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