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KMID : 1001920130540020145
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Journal of Korean Neurosurgical Society
2013 Volume.54 No. 2 p.145 ~ p.147
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Acute Hydrocephalus Following Cervical Spinal Cord Injury
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Son Seong
Lee Sang-Gu
Park Chan-Woo
Kim Woo-Kyung
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Abstract
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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.
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KEYWORD
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Hydrocephalus, Spinal cord injuries, Ossification of the posterior longitudinal ligament of the spine
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