经椎间孔腰椎椎间融合术后偶发急性脑硬膜下血肿1例。

Kazuhiro Shirozu, Keita Takahashi, Mitsumasa Hayashida, Katsuyuki Matsushita, Yasuharu Nakashima, Sumio Hoka
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引用次数: 1

摘要

我们报告了一位68岁的女性,她在经椎间孔腰椎椎体间融合术后早期出现急性脑硬膜下血肿(SDH)。术后4小时,患者主诉头痛、恶心。增强颅脑计算机断层扫描显示脑SDH。尽管术中没有明显的硬脑膜损伤,但我们认为偶然的硬脑膜撕裂引起的脑脊液漏可能是SDH的原因。据我们所知,这是第一次在脊柱手术后立即检测到脑SDH,尽管没有神经功能缺陷。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidental Cerebral Acute Subdural Hematoma After Transforaminal Lumbar Interbody Fusion: A Case Report.

We present a 68-year-old woman who developed acute cerebral subdural hematoma (SDH) early after transforaminal lumbar interbody fusion. Four hours postoperatively, the patient complained of headache and nausea. Enhanced cranial computed tomography showed cerebral SDH. Despite no obvious intraoperative dural damage, we suggest that cerebrospinal fluid leakage by incidental dural tear likely caused the SDH. To our knowledge, this is the first report of detected cerebral SDH immediately after spinal surgery in spite of no neurological deficits.

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