Delayed chronic intracranial subdural hematoma complicating resection of a tanycytic thoracic ependymoma

Massimiliano Visocchi, Rosario Maugeri, Antonella Giugno, Francesca Graziano, Cole Giller, Domenico Iacopino

Risultato della ricerca: Contributo in rivistaArticolo in rivista

5 Citazioni (Scopus)

Abstract

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.
Lingua originaleEnglish
pagine (da-a)S20-S22
RivistaSurgical Neurology International
Volume7
DOI
Stato di pubblicazionePubblicato - 2016

Keywords

  • Cerebrospinal fluid leakage
  • Neurology (clinical)
  • Surgery
  • chronic subdural hematoma
  • thoracic ependymoma

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