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KMID : 1099620140110010012
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Korean Journal of Spine
2014 Volume.11 No. 1 p.12 ~ p.14
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Spinal Subdural Hematoma Following Meningioma Removal Operation
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Jun Hyo-Sub
Oh Jae-Keun
Park Young-Seok
Song Joon-Ho
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Abstract
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Although blood contamination of cerebrospinal fluid (CSF) after an intracranial operation can occur, the development of a symptomatic spinal hematoma after craniotomy has been anecdotally reported and it is uncommon reported after a supratentorial meningioma removal operation. We report a case of spinal subdural hematoma following a supratentorial meningioma removal operation and discuss the mechanism of spinal subdural hematoma (SSDH) development. A 54-year-old woman presented with lumbago and radicular pain on both legs 4 days after a right parietooccipital craniotomy for meningioma removal. Only the straight leg raising sign was positive on neurologic examination but the magnetic resonance imaging (MRI) demonstrated a lumbosacral spinal subdural hematoma. The patient received serial lumbar tapping, after which her symptoms showed improvement.
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KEYWORD
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Spinal subdural hematoma, Meningioma, Lumbar tapping
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