6533b870fe1ef96bd12cf2f9
RESEARCH PRODUCT
Delayed chronic intracranial subdural hematoma complicating resection of a tanycytic thoracic ependymoma
Rosario MaugeriCole A. GillerMassimiliano VisocchiDomenico Gerardo IacopinoFrancesca GrazianoAntonella Giugnosubject
Ependymomamedicine.medical_specialtySettore MED/27 - NEUROCHIRURGIAResectionCerebrospinal fluid leakage; chronic subdural hematoma; thoracic ependymoma; Surgery; Neurology (clinical)03 medical and health sciencesCerebrospinal fluid leakage thoracic ependymoma chronic subdural hematoma0302 clinical medicineCerebrospinal fluidHematomaChronic subdural hematomaMedicineSurgical Neurology International: Unique Case Observationscardiovascular diseasesSubdural spaceIntracranial Hypotension030222 orthopedicsbusiness.industrymedicine.diseaseSurgerybody regionsthoracic ependymomamedicine.anatomical_structuresurgical procedures operativechronic subdural hematomaCerebrospinal fluid leakagecardiovascular systemChronic intracranial subdural hematomaSurgeryNeurology (clinical)business030217 neurology & neurosurgerydescription
Background To demonstrate that the diagnosis of an intracranial subdural hematoma should be considered for patients presenting with acute or delayed symptoms of intracranial pathology following resection of a spinal tumor. Case description We present a case of a 57-year-old woman found to have a chronic subdural hematoma 1 month following resection of a thoracic extramedullary ependymoma. Evacuation of the hematoma through a burr hole relieved the presenting symptoms and signs. Resolution of the hematoma was confirmed with a computed tomography (CT) scan. Conclusion Headache and other symptoms not referable to spinal pathology should be regarded as a warning sign of an intracranial subdural hematoma, and a CT scan of the head should be obtained. The mechanism of the development of the hematoma may be related to the leakage of cerebrospinal fluid with subsequent intracranial hypotension leading to an expanding subdural space and hemorrhage.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2015-08-21 |