Subdural hematoma after microdiscectomy: a case report and review of the literature |
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| Authors: | Alexandra D Beier Teck M Soo Roderick Claybrooks |
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| Institution: | 1. Section of Neurosurgery, Providence Hospital and Medical Centers, 16001 W Nine Mile Rd, Southfield, MI 48075, USA;2. Department of Orthopedic Spine Surgery, Providence Hospital and Medical Centers, 16001 W Nine Mile Rd, Southfield, MI 48075, USA;1. Department of Materials Physics, Nanjing University of Information Science and Technology, Nanjing 210044, China;2. National Laboratory of Solid State Microstructures and Department of Materials Science and Engineering, Nanjing University, Nanjing 210093, China;1. Department of Orthopaedic Surgery, Medical University of South Carolina, 96 Jonathan Lucas St, Ste. 708, Charleston, SC 29425, USA;2. School of Medicine, Medical University of South Carolina, 96 Jonathan Lucas St, Ste. 708, Charleston, SC 29425, USA;1. Department of Neurosurgery, Odense University Hospital, DK-5000 Odense , Denmark;2. OPEN Odense Patient Data Explorative Network, Odense University Hospital, DK-5000 Odense, Denmark;3. Institute of Clinical Research, University of Southern Denmark, DK-5000 Odense, Denmark |
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| Abstract: | Background contextSubdural hematomas (SDHs) have been described as a rare complication from durotomy after lumbar spine surgery. In half of the reported cases, the durotomy was unnoticed intraoperatively. The most common presenting symptom was persistent headache.PurposeTo report a case of SDH after routine microdiscectomy and to review the literature.Study designCase report and review of the literature.MethodsRetrospective review of patient's history and imaging studies.ResultsA 39-year-old female underwent routine microdiscectomy for L5–S1 herniated disc. There were no complications, and no dural tear was noted. Approximately 1 week postoperatively, the patient complained of severe headaches. Imaging revealed a right intracranial chronic SDH and a lumbar pseudomeningocele. Operative exploration of her lumbar wound revealed a dural tear, which was closed primarily. The patient had subsequent resolution of her SDH.ConclusionsThe authors present a case of a routine microdiscectomy complicated by delayed cerebrospinal leak causing a chronic SDH. This report illustrates the need for a comprehensive evaluation of headaches after spine surgery. |
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