Spinal Subdural Hematoma Following Intracranial Aneurysm Surgery : Four Case Reports
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概要
- 論文の詳細を見る
Four patients presented with rare spinal subdural hematoma (SDH) occurring after intracranial aneurysm surgery and manifesting as postoperative back pain. Magnetic resonance imaging performed from 4 to 11 days after the operation showed acute or subacute thoracolumbar SDH. No patient had risk factors for bleeding at this site (e.g., lumbar puncture, coagulation abnormality). Overdrainage of the cerebrospinal fluid (CSF) was performed for brain retraction during the operation in all four cases. Computed tomography performed during the postoperative period showed a suspicious tentorial subdural hemorrhage in Case 1 and an interhemispheric subdural hemorrhage in Case 3. All four patients received conservative management and their lumbago improved. We hypothesize that CSF hypotension due to overdrainage of CSF and downward migration of intracranial SDH under the influence of gravity were involved in the formation of spinal SDH.
- 社団法人 日本脳神経外科学会の論文
- 2007-01-15
著者
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LEE Seung
Department of Dermatology and Human Barrier Research Institute, Yonsei University College of Medicin
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Lee Chae
Department Of Neurosurgery Seoul Paik Hospital Inje University College Of Medicine
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Kim Myoung
Department Of Neurosurgery Seoul Paik Hospital Inje University College Of Medicine
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Lee Chae
Department Of Dermatology Seoul National University College Of Medicine
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Rhee Jong
Department Of Neurosurgery Seoul Paik Hospital Inje University College Of Medicine
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Kim Myoung
Department Of Computer Science Kaist
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Lee Seung
Department Of Anesthesiology And Pain Medicine Dong-a University Hospital
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Lee Seung
Department Of Neurosurgery Seoul Paik Hospital Inje University College Of Medicine
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Rhee Jong
Department Of Internal Medicine Samsung Medical Center Sungkyunkwan University School Of Medicine
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Kim Myoung
Department Of Anesthesiology Paik Hospital Inje University
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RHEE Jong
Department of Information and Communications Engineering, Myongji University
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