Spinal subdural hematoma following posterior fossa surgery

Chih Hsiang Liao; Feng Chi Chang; Sanford P.C. Hsu; Yi Chieh Hung; Hsin Hung Chen; Muh Lii Liang; Tai-Tong Wong; Yang Hsin Shih

doi:10.1016/j.fjs.2013.01.002

Spinal subdural hematoma following posterior fossa surgery

Chih Hsiang Liao, Feng Chi Chang, Sanford P.C. Hsu, Yi Chieh Hung, Hsin Hung Chen, Muh Lii Liang, Tai-Tong Wong, Yang Hsin Shih

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Spinal subdural hematoma (SSDH) is a rare but potentially devastating complication of cranial surgery. This study presents two cases of SSDH after posterior fossa surgery. The first case was a 44-year-old man who harbored a fourth ventricle metastatic adenocarcinoma, and the second case was a 4-year-old boy with a posterior fossa medulloblastoma. Both patients underwent suboccipital craniotomy, and SSDHs were found postoperatively. The first case underwent an additional lumbar laminectomy due to cauda equina syndrome; the second case received conservative treatment because there were no obvious neurologic deficits. Meticulous hemostasis and the avoidance of cerebrospinal fluid overdrainage may reduce the risk of SSDH after cranial surgery. Emergent decompression is warranted for SSDH in the presence of progressive neurologic deterioration.

Original language	English
Pages (from-to)	52-55
Number of pages	4
Journal	Formosan Journal of Surgery
Volume	46
Issue number	2
DOIs	https://doi.org/10.1016/j.fjs.2013.01.002
Publication status	Published - Jan 1 2013
Externally published	Yes

Keywords

Cauda equina syndrome
Posterior fossa surgery
Spinal subdural hematoma

ASJC Scopus subject areas

Surgery

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10.1016/j.fjs.2013.01.002

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title = "Spinal subdural hematoma following posterior fossa surgery",

abstract = "Spinal subdural hematoma (SSDH) is a rare but potentially devastating complication of cranial surgery. This study presents two cases of SSDH after posterior fossa surgery. The first case was a 44-year-old man who harbored a fourth ventricle metastatic adenocarcinoma, and the second case was a 4-year-old boy with a posterior fossa medulloblastoma. Both patients underwent suboccipital craniotomy, and SSDHs were found postoperatively. The first case underwent an additional lumbar laminectomy due to cauda equina syndrome; the second case received conservative treatment because there were no obvious neurologic deficits. Meticulous hemostasis and the avoidance of cerebrospinal fluid overdrainage may reduce the risk of SSDH after cranial surgery. Emergent decompression is warranted for SSDH in the presence of progressive neurologic deterioration.",

keywords = "Cauda equina syndrome, Posterior fossa surgery, Spinal subdural hematoma",

author = "Liao, {Chih Hsiang} and Chang, {Feng Chi} and Hsu, {Sanford P.C.} and Hung, {Yi Chieh} and Chen, {Hsin Hung} and Liang, {Muh Lii} and Tai-Tong Wong and Shih, {Yang Hsin}",

year = "2013",

month = jan,

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doi = "10.1016/j.fjs.2013.01.002",

language = "English",

volume = "46",

pages = "52--55",

journal = "Formosan Journal of Surgery",

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publisher = "臺灣外科醫學會",

number = "2",

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T1 - Spinal subdural hematoma following posterior fossa surgery

AU - Liao, Chih Hsiang

AU - Chang, Feng Chi

AU - Hsu, Sanford P.C.

AU - Hung, Yi Chieh

AU - Chen, Hsin Hung

AU - Liang, Muh Lii

AU - Wong, Tai-Tong

AU - Shih, Yang Hsin

PY - 2013/1/1

Y1 - 2013/1/1

N2 - Spinal subdural hematoma (SSDH) is a rare but potentially devastating complication of cranial surgery. This study presents two cases of SSDH after posterior fossa surgery. The first case was a 44-year-old man who harbored a fourth ventricle metastatic adenocarcinoma, and the second case was a 4-year-old boy with a posterior fossa medulloblastoma. Both patients underwent suboccipital craniotomy, and SSDHs were found postoperatively. The first case underwent an additional lumbar laminectomy due to cauda equina syndrome; the second case received conservative treatment because there were no obvious neurologic deficits. Meticulous hemostasis and the avoidance of cerebrospinal fluid overdrainage may reduce the risk of SSDH after cranial surgery. Emergent decompression is warranted for SSDH in the presence of progressive neurologic deterioration.

AB - Spinal subdural hematoma (SSDH) is a rare but potentially devastating complication of cranial surgery. This study presents two cases of SSDH after posterior fossa surgery. The first case was a 44-year-old man who harbored a fourth ventricle metastatic adenocarcinoma, and the second case was a 4-year-old boy with a posterior fossa medulloblastoma. Both patients underwent suboccipital craniotomy, and SSDHs were found postoperatively. The first case underwent an additional lumbar laminectomy due to cauda equina syndrome; the second case received conservative treatment because there were no obvious neurologic deficits. Meticulous hemostasis and the avoidance of cerebrospinal fluid overdrainage may reduce the risk of SSDH after cranial surgery. Emergent decompression is warranted for SSDH in the presence of progressive neurologic deterioration.

KW - Cauda equina syndrome

KW - Posterior fossa surgery

KW - Spinal subdural hematoma

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DO - 10.1016/j.fjs.2013.01.002

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EP - 55

JO - Formosan Journal of Surgery

JF - Formosan Journal of Surgery

IS - 2

ER -

Spinal subdural hematoma following posterior fossa surgery

Abstract

Keywords

ASJC Scopus subject areas

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