Spinal Epidural Hematoma Related to Intracranial Hypotension.
10.14245/kjs.2013.10.3.203
- Author:
Kyung Han CHA
1
;
Tack Geun CHO
;
Chang Hyun KIM
;
Ho Kook LEE
;
Jae Gon MOON
Author Information
1. Department of Neurosurgery, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea. jotak01@naver.com
- Publication Type:Case Report
- Keywords:
Spinal epidural hematoma;
Headache;
Neck pain;
Cerebrospinal fluid leakage
- MeSH:
Drainage;
Emergencies;
Female;
Headache;
Hematoma;
Hematoma, Epidural, Spinal*;
Humans;
Intracranial Hypotension*;
Magnetic Resonance Imaging;
Middle Aged;
Neck Pain;
Neurologic Manifestations;
Quadriplegia;
Spinal Puncture;
Spine
- From:Korean Journal of Spine
2013;10(3):203-205
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 45-year-old female patient visited the hospital complaining of severe sudden headache and posterior neck pain. The patient did not have any traumatic history or abnormal neurologic finding. The patient had sudden quadriplegia and sensory loss. Cervical spine MRI scan was taken, and the compatible findings to acute epidural hematoma were shown. The emergency operation was performed. After the operation, the patient recovered all motor and senses. As there was CSF leakage in the postoperative wound, this was confirmed by cervical spinal computed tomography (CT). Then lumbar drainage was thus performed. The opening pressure upon lumbar puncture was not measured as it was very low. As a result of continous CSF leakage, dural repair was performed. After the operation, the patient had been discharged without neurologic deficits. In this case, it is sensible to suspect intracranial hypotension as a possible cause of spinal EDH.
