Acute subdural hematoma secondary to sacral arachnoid cyst surgery: a case report
10.3760/cma.j.cn113694-20220622-00497
- VernacularTitle:骶管蛛网膜囊肿术后继发急性硬膜下血肿1例
- Author:
Jian ZHANG
1
;
Zhaomeng WEN
;
Wenhu LIU
;
Shaobo MA
;
Hongxing ZHANG
;
Jianxiong LIU
Author Information
1. 甘肃省人民医院神经外科,兰州 730000
- Keywords:
Sacral canal cyst;
Arachnoid cyst;
Subdural hemorrhage;
Spinal surgery
- From:
Chinese Journal of Neurology
2023;56(3):333-337
- CountryChina
- Language:Chinese
-
Abstract:
Sacral cyst usually occurs around the nerve root, which is the accumulation of cerebrospinal fluid between the intima and the perineurium at the junction of the posterior spinal nerve root and the dorsal root ganglion. Its typical clinical manifestations include low back pain, lower limb radiation pain, rectal/bladder dysfunction and so on. Complications of acute subdural hematoma with cerebral hernia after posterior midline cystectomy of sacral cyst are rare. A middle-aged female patient with sacral cyst was admitted to Gansu Provincial Hospital. After the operation, acute subdural hematoma occurred in the right frontoparietal temporal occipital region, and cerebral herniation was formed. After the operation, the patient was given rehabilitation exercise and discharged well. No neurological deficits were observed during follow-up.