Search Results

You are looking at 1 - 10 of 21 items for :

  • "subdural hematoma" x
  • Journal of Neurosurgery: Case Lessons x
  • Refine by Access: all x
Clear All
Open access

Cervical spinal cord compression from subdural hematoma caused by traumatic nerve root avulsion: illustrative case

Alexander T Yahanda, Michelle R Connor, Rupen Desai, David A Giles, Vivek P Gupta, Wilson Z Ray, and Magalie Cadieux

the cervical spine demonstrated what appeared to be a dorsal epidural hematoma spanning from C3 to C6 causing critical spinal canal stenosis ( Fig. 2 ). He was promptly taken to surgery for evacuation of this hematoma. He underwent C3–5 laminectomies, but no epidural blood was visualized after decompression. Moreover, the thecal sac appeared to be distended, particularly on the right side, with areas of dark coloration seen under the dura. Intraoperative ultrasound was used to visualize a subdural hematoma underlying the decompressed levels. FIG. 2 Cervical

Open access

Spinal subdural hematoma from a ventral dural puncture after percutaneous vertebroplasty: illustrative case

Hao-Chien Yang, Heng-Wei Liu, and Chien-Min Lin

Percutaneous vertebroplasty (PVP) is a common and efficient procedure for treating vertebral compression fractures. Although often perceived as a minimally invasive low-risk procedure, postoperative complications caused by cement leakages are not uncommon and can lead to either a mild local leakage mass or serious systemic embolic events. 1–5 Spinal subdural hematoma (sSDH) after PVP is a rare complication. 6–8 Clinically, sSDHs can manifest as various nonspecific spinal symptoms and signs, which makes diagnosis difficult. Because no pathognomonic signs of

Open access

Tandem cranial and spinal cerebrospinal fluid leaks presenting with otogenic tension pneumocephalus: illustrative case

Dominic Chau, Zachary R Barnard, Thomas J Muelleman, Adam M Olszewski, Anna K D’Agostino, Marcel M Maya, Peyton L Nisson, Kevin A Peng, Wouter I Schievink, and Gregory P Lekovic

correlated with the two bony tegmen defects. We placed a dural graft substitute intradurally to cover the middle cranial fossa. The temporalis fascia graft was placed extradurally over the tegmen defects. Postoperatively, interval CT scans showed a progressive decrease in the volume of her pneumocephalus. In the week after discharge, the patient developed a recurrence of positional headaches and underwent head magnetic resonance imaging (MRI), which demonstrated bilateral subdural hematomas (SDHs) with no residual pneumocephalus ( Fig. 2A and B ). This constellation of

Open access

Postoperative spinal subdural hygroma without incidental durotomy: illustrative cases

Garrett Q. Barr and Peter L. Mayer

1 Schiller F , Neligan G , Budtz-Olsen O . Surgery in haemophilia: a case of spinal subdural haematoma producing paraplegia . Lancet . 1948 ; 2 ( 6535 ): 842 – 845 . 10.1016/S0140-6736(48)91427-5 28533989 2 Abla AA , Oh MY . Spinal chronic subdural hematoma . Neurosurg Clin N Am . 2000 ; 11 ( 3 ): 465 – 471 . 10.1016/S1042-3680(18)30109-8 3 Bernsen RA , Hoogenraad TU . A spinal haematoma occurring in the subarachnoid as well as in the subdural space in a patient treated with anticoagulants . Clin Neurol Neurosurg

Open access

Intracranial subdural hemorrhage following closed neural tube defect repair: illustrative case

Stacey Podkovik, Jonathon Cavaleri, Carli Bullis, and Susan Durham

Intradural spine surgeries are extremely common procedures within the fields of both adult and pediatric neurosurgery. Distant intracranial extraaxial hemorrhages are a known, but uncommon, complication after intradural spinal procedures. Most of these occurrences are typically due to an iatrogenic cerebrospinal fluid (CSF) leak leading to intracranial hypotension. 1 The incidence of subdural hematoma (SDH) in the setting of intracranial hypotension is approximately 10%. 1 However, the incidence of SDH after intradural spine surgeries is reported to be as

Open access

Critical care for concomitant severe traumatic brain injury and acute spinal cord injury in the polytrauma patient: illustrative case

Hansen Deng, Diego D. Luy, Hussam Abou-Al-Shaar, John K. Yue, Pascal O. Zinn, Ava M. Puccio, and David O. Okonkwo

detected. CT of the head showed extensive bilateral occipital fractures, infratentorial swelling, and right subdural hematoma causing upward transtentorial herniation ( Fig. 1A ). The patient also had supratentorial multicompartmental bleeding with bifrontal subdural hematoma and diffuse traumatic subarachnoid hemorrhage ( Fig. 2 ). CT of the thoracic spine revealed a three-column fracture dislocation of the T9 and T10 levels, T10 burst fracture with retropulsion, and severe spinal stenosis ( Fig. 3A ). Other injuries included left pneumothorax, rib fractures, and

Open access

Spontaneous intracranial hypotension complicated by diffuse cerebral edema and episodes of severely elevated intracranial pressure: illustrative case

Jeffrey P. Turnbull and Vittorio M. Morreale

–5 Although rare, a growing body of literature has described the potentially severe manifestations associated with SIH, including acute encephalopathy, coma, cerebral hemorrhage, and subdural hematomas. 6–9 Although the etiology of SIH is still relatively unknown, instability or structural defects in the dural membrane are largely regarded to be associated with CSF leakage. 2 , 5 Two inciting mechanisms that have been previously established are a history of mild physical trauma preceding symptoms and an underlying connective tissue disorder. 1 , 10 Upon surgical

Open access

Minimally invasive surgery for spinal cerebrospinal fluid–venous fistula ligation: patient series

Laura-Nanna Lohkamp, Nandan Marathe, Patrick Nicholson, Richard I. Farb, and Eric M. Massicotte

59 M Orthostatic HA >1 yr T9 right 1 0 23 None Recurrent orthostatic HA 60 M Second CVF w/ SIH T8 right 1 0 18 None Resolved 4 61 M Bilateral subdural hematoma T3 left 2 0 26 None Resolved 5 62 F Orthostatic HA >1.5 yrs T9 left 2 1 8 None Improved HA = headaches; SX = surgery. Summary of patient characteristics, including clinical presentation, interventions and outcome results. Patient 3 underwent 2 MIS procedures for 2 CVFs. Discussion Observations This study

Open access

Syringomyelia intermittens: highlighting the complex pathophysiology of syringomyelia. Illustrative case

Jorn Van Der Veken, Marguerite Harding, Saba Hatami, Marc Agzarian, and Nick Vrodos

intracranial pressure due to a space-occupying lesion (chronic subdural hematomas, cavernoma), hydrocephalus, head injuries, and venoocclusive disease have been described as a cause for tonsillar herniation. None of these was present in our patient. 40–44 A CSF leak as a cause of reduced intracranial pressure and subsequent resolution of CMI has also been reported. 28 Other pathophysiological mechanisms for spontaneous resolution have been proposed, when a change in tonsillar descent is absent or less clear. In 1991, Jack et al. published a hypothesis of spontaneous

Open access

Pathophysiology and surgical treatment of spinal adhesive arachnoid pathology: patient series

Izumi Koyanagi, Yasuhiro Chiba, Genki Uemori, Hiroyuki Imamura, Masami Yoshino, and Toshimitsu Aida

hemorrhage from ruptured basilar aneurysm or dissection of the vertebral artery. The other patient suffered from acute spinal subdural hematoma of unknown origin. Trauma as the etiology was noted in 2 patients (severe head injury in 1; spinal cord injury in 1). Another 4 patients had different types of etiology: tuberculosis (caries), pyogenic meningitis, oil-myelography, and cerebrospinal fluid (CSF) leakage syndrome. The interval from etiological events to onset of symptoms of arachnoid adhesion in these 13 patients ranged from 1 to 744 months (mean 167.3 months, median