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Journal of Korean Neurosurgical Society 2010;47(4): 316-318.
doi: https://doi.org/10.3340/jkns.2010.47.4.316
Bilateral Subdural Hematoma due to an Unnoticed Dural Tear during Spine Surgery.
Youn Young Jung, Chng Il Ju, Seok Won Kim
1Department of Anatomy, College of Medicine, Chosun University, Gwangju, Korea.
2Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea. chosunns@chosun.ac.kr
We report a rare case of intracranial hypotension that was complicated by a subdural hematoma following spine surgery. Intraoperatively, we did not notice any breach of the dura. However, the patient continued to have fluid leakage from the inferior edge of the lumbar incision. During revision surgery, a small dural tear was identified and repaired. It is likely that a small dural tear was overlooked or the dura was weakened during the initial operation and caused a subdural hematoma associated with intracranial hypotension.
Key Words: Subdural hematoma; Intracranial hypotension; Spine surgery; Cerebrospinal fluid
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