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Subdural Extra-arachnoid Hygroma Because of Occult Distal Durotomy After Minimally Invasive Decompression: A Case Report.
Azad, Tej D; Raj, Divyaansh; Srinivasan, Ethan S; Bydon, Ali.
Afiliação
  • Azad TD; Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, Maryland.
JBJS Case Connect ; 14(3)2024 Jul 01.
Article em En | MEDLINE | ID: mdl-38968378
ABSTRACT
CASE We present the case of a 59-year-old man who had MIS L4-5 decompression. He presented the next day with intractable back and leg pain. Magnetic resonance imaging revealed ventral displacement of the cauda equina and a subdural collection on the right L3/L4 nerve roots. Revision decompression revealed occult durotomy caudal and contralateral to the index decompression.

CONCLUSION:

Minimally invasive spine (MIS) surgery leverages shorter operative time and reduced postoperative pain. Yet, decreased exposure can make identification and management complications challenging. This report highlights occult durotomy and spinal subdural extra-arachnoid hygroma in patients with postoperative nerve compression after seemingly uncomplicated MISS.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Derrame Subdural / Procedimentos Cirúrgicos Minimamente Invasivos / Descompressão Cirúrgica Limite: Humans / Male / Middle aged Idioma: En Revista: JBJS Case Connect Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Derrame Subdural / Procedimentos Cirúrgicos Minimamente Invasivos / Descompressão Cirúrgica Limite: Humans / Male / Middle aged Idioma: En Revista: JBJS Case Connect Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos