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KMID : 0388720180250020069
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Journal of Korean Society of Spine Surgery
2018 Volume.25 No. 2 p.69 ~ p.73
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Hydrocephalus as a Complication of Durotomy during Cervical Laminoplasty: A Case Report
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Yi Je-Min
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Abstract
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Study Design: Case report.
Objectives: We report a case of hydrocephalus as a complication of durotomy during cervical laminoplasty.
Summary of Literature Review: Hydrocephalus is a very rare complication of cervical laminoplasty.
Materials and Methods: A 72-year-old man had an incidental durotomy during cervical laminoplasty. The dural leak was repaired by secondary surgery. However, the patient continued to complain of headaches and developed confusion and drowsiness. A computed tomographic scan of the brain showed hydrocephalus. After insertion of a lumbar drain, the patient experienced a temporary improvement in the neurologic symptoms. After 6 months, the neurologic symptoms recurred and a ventriculoperitoneal (VP) shunt was placed.
Results: After placement of the VP shunt, the neurologic symptoms improved significantly.
Conclusions: If a patient shows deterioration of neurologic symptoms after an incidental durotomy, surgeons should consider the possibility of hydrocephalus.
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KEYWORD
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Hydrocephalus, Durotomy, Cervical laminoplasty
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