Paraplegia due to spinal subdural hematoma as a complication of posterior fossa surgery: Case report and review of the literature

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dc.authoridHicdonmez, Tufan/0000-0003-4847-8727
dc.authoridHamamcioglu, Mustafa Kemal/0000-0003-1960-8182
dc.authorwosidHicdonmez, Tufan/AGI-0165-2022
dc.authorwosidKILINÇER, Cumhur/C-7969-2014
dc.authorwosidHamamcioglu, Mustafa Kemal/A-3520-2019
dc.contributor.authorHicdonmez, Tufan
dc.contributor.authorKilincer, Cumhur
dc.contributor.authorHamamcioglu, A. Kemal
dc.contributor.authorCobanoglu, Sebahattin
dc.date.accessioned2024-06-12T10:58:14Z
dc.date.available2024-06-12T10:58:14Z
dc.date.issued2006
dc.departmentTrakya Üniversitesien_US
dc.description.abstractAlthough blood contamination of cerebrospinal fluid (CSF) after an intracranial operation is possible, development of a symptomatic spinal hematoma after a posterior fossa surgery has never been reported. A 43-year-old woman underwent a posterior fossa tumor removal in the prone position with no intraoperative difficulty. On the second postoperative day, she complained of severe epigastric pain and developed a rapid onset of paraplegia with anesthesia below the thoracic 5 spinal level. The emergency cranial and spinal MRIs revealed a spinal extramedullary hemorrhage spreading to the whole spinal regions, just sparing the cauda equina area. There was a prominent localized hematoma formation surrounding and compressing the spinal cord at the upper thoracic levels, which was evacuated via an urgent laminectomy. The patient showed partial neurological recovery after the decompression. Development of the spinal hematoma was explained by the movement of blood from the tumor bed into the spinal canal under the effect of gravity, during or after the operation. A 30 degrees head elevation might facilitate the accumulation of blood. Localization of the hematoma formation may be caused by the fact that the upper thoracic levels constitute the apex of the kyphosis. We conclusively suggest that a spinal hematoma should be taken into consideration as a rare but potentially severe complication of a posterior fossa surgery. Meticulous hemostasis and isolation of the surgical area from the spinal spaces are essential. Overdrainage of CSF should be abandoned. Postoperatively, patients should be monitored for spinal findings as well as cranial signs. (c) 2005 Elsevier B.V. All rights reserved.en_US
dc.identifier.doi10.1016/j.clineuro.2005.04.001
dc.identifier.endpage594en_US
dc.identifier.issn0303-8467
dc.identifier.issue6en_US
dc.identifier.pmid15890442en_US
dc.identifier.scopus2-s2.0-33746876035en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage590en_US
dc.identifier.urihttps://doi.org/10.1016/j.clineuro.2005.04.001
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19987
dc.identifier.volume108en_US
dc.identifier.wosWOS:000240369200015en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofClinical Neurology And Neurosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectComplicationsen_US
dc.subjectMagnetic Resonance Imagingen_US
dc.subjectParaplegiaen_US
dc.subjectPosterior Cranial Fossaen_US
dc.subjectSpinal Cord Compressionen_US
dc.subjectSubdural Hematomaen_US
dc.subjectCraniotomyen_US
dc.subjectPositionen_US
dc.titleParaplegia due to spinal subdural hematoma as a complication of posterior fossa surgery: Case report and review of the literatureen_US
dc.typeArticleen_US

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