Spinal subdural hematoma following posterior fossa surgery

被引：4

作者：

Liao, Chih-Hsiang ^{[1
]}

Chang, Feng-Chi ^{[2
,3
]}

Hsu, Sanford P. C. ^{[1
,3
]}

Hung, Yi-Chieh ^{[1
]}

Chen, Hsin-Hung ^{[1
,3
]}

Liang, Muh-Lii ^{[1
,3
]}

Wong, Tai-Tong ^{[3
,4
]}

Shih, Yang-Hsin ^{[1
,3
]}

机构：

[1] Taipei Vet Gen Hosp, Neurol Inst, Dept Neurosurg, 201,Sect 2,Shih Pai Rd, Taipei 112, Taiwan

[2] Taipei Vet Gen Hosp, Dept Radiol, Taipei, Taiwan

[3] Natl Yang Ming Univ, Sch Med, Taipei, Taiwan

[4] Cheng Hsin Gen Hosp, Dept Neurosurg, Taipei, Taiwan

来源：

FORMOSAN JOURNAL OF SURGERY | 2013年 / 46卷 / 02期

关键词：

cauda equina syndrome; posterior fossa surgery; spinal subdural hematoma;

D O I：

10.1016/j.fjs.2013.01.002

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Spinal subdural hematoma (SSDH) is a rare but potentially devastating complication of cranial surgery. This study presents two cases of SSDH after posterior fossa surgery. The first case was a 44-year-old man who harbored a fourth ventricle metastatic adenocarcinoma, and the second case was a 4-year-old boy with a posterior fossa medulloblastoma. Both patients underwent suboccipital craniotomy, and SSDHs were found postoperatively. The first case underwent an additional lumbar laminectomy due to cauda equina syndrome; the second case received conservative treatment because there were no obvious neurologic deficits. Meticulous hemostasis and the avoidance of cerebrospinal fluid overdrainage may reduce the risk of SSDH after cranial surgery. Emergent decompression is warranted for SSDH in the presence of progressive neurologic deterioration. (C) 2013, Taiwan Surgical Association. Published by Elsevier Taiwan LLC. All rights reserved.

引用

页码：52 / 55

页数：4

共 7 条

[1] CALHOUN JM, 1991, NEUROSURGERY, V29, P133
[2] Complications of posterior cranial fossa surgery-an institutional experience of 500 patients
Dubey, Arvind
Sung, Wen-Shan
Shaya, Mark
Patwardhan, Ravish
Willis, Brian
Smith, Donald
Nanda, Anil
[J]. SURGICAL NEUROLOGY, 2009, 72 (04): : 369 - 375
[3] Ito H, 1988, Neurol Med Chir (Tokyo), V28, P650, DOI 10.2176/nmc.28.650
[4] Spinal hematoma: a literature survey with meta-analysis of 613 patients
D. Kreppel
G. Antoniadis
W. Seeling
[J]. Neurosurgical Review, 2003, 26 (1) : 1 - 49
[5] Spinal subdural haematoma as a complication of cranial surgery
Lee, JI
Hong, SC
[J]. ACTA NEUROCHIRURGICA, 2003, 145 (05) : 411 - 415
[6] OBSERVATIONS ON THE PRESENCE OF SUBDURAL GAS AFTER PNEUMOENCEPHALOGRAPHY
PAUL, LW
ERICKSON, TC
[J]. RADIOLOGY, 1946, 46 (02) : 139 - 148
[7] Vandenabeele F, 1996, J ANAT, V189, P417

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