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Spinal subdural hematoma following meningioma removal operation

Hyo Sub Jun1, Jae Keun Oh1, Young Seok Park1

  • 1Department of Neurosurgery, Hallym University Sacred Heart Hospital, Hallym University School of Medicine, Anyang, Korea.

Korean Journal of Spine
|June 4, 2014
PubMed

Insights

A rare spinal subdural hematoma (SSH) occurred after brain surgery for a supratentorial meningioma. Prompt lumbar tapping relieved the patient's leg pain and neurological symptoms.

Area of Science:

  • Neurosurgery
  • Neurology
  • Radiology

Background:

  • Cerebrospinal fluid (CSF) contamination post-intracranial surgery is known.
  • Symptomatic spinal hematoma after craniotomy is uncommon.
  • Spinal subdural hematoma (SSH) is a rare complication following supratentorial meningioma removal.

Purpose of the Study:

  • To report a rare case of SSH after supratentorial meningioma removal.
  • To discuss the potential mechanisms of SSH development in this context.

Main Methods:

  • Case report of a 54-year-old female patient.
  • Neurological examination including straight leg raising test.
  • Magnetic resonance imaging (MRI) of the lumbosacral spine.
  • Serial lumbar tapping for symptom management.

Main Results:

  • Patient developed lumbago and radicular leg pain 4 days post-craniotomy.
  • MRI confirmed a lumbosacral spinal subdural hematoma.
  • Symptoms improved following serial lumbar tapping.

Conclusions:

  • SSH is a rare but possible complication after supratentorial meningioma surgery.
  • Early diagnosis via MRI and conservative management with lumbar tapping can be effective.
  • Further investigation into the pathogenesis of SSH post-neurosurgery is warranted.
Keywords:
Lumbar tappingMeningiomaSpinal subdural hematoma

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