Subacute subdural haematoma complicating lumbar microdiscectomy

Area of Science:

• Neurosurgery
• Spinal Surgery
• Neurology

Background:

• Spinal subdural hematoma is a rare complication.
• No prior reports exist linking it to spinal surgery.
• Dural tears can occur during spinal procedures.

Observation:

• A patient developed a subacute spinal subdural hematoma.
• The complication arose after microdiscectomy surgery.
• A dural tear was identified as the cause.

Findings:

• This case represents the first reported instance of spinal subdural hematoma post-spinal surgery.
• Diagnostic delays and management difficulties were encountered.
• The hematoma resulted from a surgically induced dural tear.

Implications:

• Highlights the importance of considering spinal subdural hematoma in post-operative patients.
• Underscores the need for vigilance in diagnosing dural tears.
• Informs surgical technique and post-operative care protocols for microdiscectomy.