Acute Hydrocephalus Following Cervical Spinal Cord Injury.
10.3340/jkns.2013.54.2.145
- Author:
Seong SON
1
;
Sang Gu LEE
;
Chan Woo PARK
;
Woo Kyung KIM
Author Information
1. Department of Neurosurgery, Gachon University, Gil Medical Center, Incheon, Korea. samddal@gilhospital.com
- Publication Type:Case Report
- Keywords:
Hydrocephalus;
Spinal cord injuries;
Ossification of the posterior longitudinal ligament of the spine
- MeSH:
Aged;
Brain;
Dilatation;
Drainage;
Emergencies;
Hemorrhage;
Humans;
Hydrocephalus;
Laminectomy;
Longitudinal Ligaments;
Male;
Neurologic Manifestations;
Ossification of Posterior Longitudinal Ligament;
Pupil;
Shock;
Sleep Stages;
Spinal Cord;
Spinal Cord Injuries;
Spine;
Subarachnoid Hemorrhage
- From:Journal of Korean Neurosurgical Society
2013;54(2):145-147
- CountryRepublic of Korea
- Language:English
-
Abstract:
We present a case of acute hydrocephalus secondary to cervical spinal cord injury in a patient with diffuse ossification of the posterior longitudinal ligament (OPLL). A 75-year-old male patient visited the emergency department with tetraparesis and spinal shock. Imaging studies showed cervical spinal cord injury with hemorrhage and diffuse OPLL from C1 to C4. We performed decompressive laminectomy and occipitocervical fusion. Two days after surgery, his mental status had deteriorated to drowsiness with dilatation of the right pupil. Findings on brain computed tomography revealed acute hydrocephalus and subarachnoid hemorrhage in the cerebellomedullary cistern, therefore, extraventricular drainage was performed immediately. Acute hydrocephalus as a complication of cervical spine trauma is rare, however, it should be considered if the patient shows deterioration of neurologic symptoms.
