Subdural Hematoma Caused by Intracranial Hypotension After Syringosubarachnoid Shunting : Case Report
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概要
- 論文の詳細を見る
A 32-year-old man developed an extremely rare subdural hematoma after syringosubarachnoid shunting for syringomyelia. He presented with a 4-year history of neck pain and spastic paraparesis resulting from T-7 and T-8 vertebral body fracture suffered in a traffic accident at age 22 years. Magnetic resonance imaging revealed syringomyelia between the craniocervical junction and the T-10 level. The symptoms were slowly progressive, and a syringosubarachnoid shunting was performed. His spasticity improved after surgery, but he developed orthostatic headache 7 days after surgery. Magnetic resonance imaging of the brain demonstrated a thin subdural hematoma over the right cerebral convexity. The subdural hematoma resolved spontaneously within a week with conservative treatment. Vigorous cerebrospinal fluid outflow observed during surgery presumably lowered the pressure in the syrinx cavity, leading to significant but transient intracranial hypotension and consequently the formation of subdural hematoma.
- 日本脳神経外科学会の論文
- 2004-09-15
著者
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YAMAZAKI Tomosato
Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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Yamazaki Tomosato
Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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Yamazaki Tomosato
Department Of Neurosurgery Kennan Hospital:(present Address)department Of Neurosurgery Kensei Genera
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YANAKA Kiyoyuki
Department of Neurosurgery, Tsukuba University School of Medicine
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UEMURA Kazuya
Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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TSUKADA Atsuro
Department of Neurosurgery, Kennan Hospital
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Yanaka Kiyoyuki
Department Of Neurological Surgery Institute Of Clinical Medicine University Of Tsukuba
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Uemura Kazuya
Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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Uemura Kazuya
Department Of Neurosurgery Kennan Hospital
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Tsukada Atsuro
Department Of Neurosurgery Kennan Hospital
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Tsukada Atsuro
Department Of Neurological Surgery Kennan Hospital
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