Subdural hemorrhage after scoliosis correction surgery: A case report.
10.4097/kjae.2009.56.1.116
- Author:
Seung gyu JEON
1
;
Byung Hoon YOO
;
Yun Hee LIM
;
Sangseok LEE
;
Ki Hyuk HONG
Author Information
1. Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. twowind@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Acute subdural hematoma;
Delayed emergence;
Spine surgery
- MeSH:
Brain;
Brain Edema;
Child;
Congenital Abnormalities;
Evoked Potentials, Motor;
Facial Paralysis;
Hematoma, Subdural;
Hematoma, Subdural, Acute;
Humans;
Lower Extremity;
Paralysis;
Scoliosis;
Spine
- From:Korean Journal of Anesthesiology
2009;56(1):116-119
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An 11-year-old boy underwent thoracolumbar surgery to correct a deformity caused by congenital kyphoscoliosis from the 6th thoracic vertebra to the 2nd lumbar vertebra. During a screw insertion, some tore and cerebro-spinal fluid (CSF) leaked. After CSF leakage, the amplitude of the motor evoked potential in the left lower extremity was reduced by 90% compared to baseline value, but there was no nerve damage at the surgical site. His post-surgical mental status did not recover completely. Brain computed tomography revealed a subdural hemorrhage in the inter-hemispheric fissure, with both tentorium and right frontotemporooccipital and diffuse brain edema. On the 4th postoperative day, mental status recovered to near alertness, but upper motor strength was grade II, right lower motor strength was grade II and left lower motor strength was grade I. Right hemifacial palsy was also noted. At 2.5 months after surgery, right facial palsy remained, but motor function recovered to near normal levels with conservative care.
