Watanabe Atsuya, Takai Hiroo, Ogino Shuhei, Ohki Takeshi, Ohki Isao
Department of Orthopaedic Surgery, Ishibashi General Hospital, Tochigi, Japan.
J Spinal Disord Tech. 2002 Dec;15(6):533-6. doi: 10.1097/00024720-200212000-00019.
Intracranial subdural hematoma associated with intracranial hypotension is a rare complication of dural puncture and other procedures on the dura. This report describes the case of a 25-year-old man who developed intracranial subdural hematoma after resection of a thoracic spinal cord tumor. Intracranial subdural hematoma could result in severe and permanent neurologic deficit if it remains unrecognized. Severe and prolonged postdural puncture headache should be regarded as a warning sign of an intracranial subdural hematoma, and in those patients early investigation is recommended.
颅内硬膜下血肿合并颅内低压是硬膜穿刺及其他硬膜相关操作罕见的并发症。本报告描述了一名25岁男性在胸椎脊髓肿瘤切除术后发生颅内硬膜下血肿的病例。颅内硬膜下血肿若未被识别，可能导致严重且永久性的神经功能缺损。严重且持续时间较长的硬膜穿刺后头痛应被视为颅内硬膜下血肿的警示信号，对于这些患者，建议早期进行检查。
