Department of Neurosurgery, University Medical Center, Faculty of Medicine, University of Brest, Brest, France.
Neuromodulation. 2011 Mar-Apr;14(2):179-81; discussion 182. doi: 10.1111/j.1525-1403.2011.00335.x. Epub 2011 Mar 1.
To report a case of bilateral subacute subdural hematoma following implantation of intrathecal drug delivery device.
We present here the case of a 41-year-old woman with multiple sclerosis and intractable spasticity who developed a bilateral subacute subdural hematoma after the placement of an intrathecal catheter connected to a programmable pump for baclofen infusion.
Surgical drainage of the hematoma resulted in full neurologic recovery. This complication due to intracranial hypotension following lumbar puncture has been previously reported only once in patients with implanted intrathecal drug delivery device.
Medical and nursing staff dealing with intrathecal therapy should be aware of this potentially severe complication.
报告一例鞘内药物输注装置植入后发生双侧亚急性硬脑膜下血肿的病例。
我们在此报告一例 41 岁女性多发性硬化症和难治性痉挛患者的病例，该患者在鞘内置入导管并与可编程泵相连以输注巴氯芬后，发生双侧亚急性硬脑膜下血肿。
血肿的手术引流导致完全神经恢复。这种由于腰穿后颅内压降低引起的并发症，之前仅在植入鞘内药物输注装置的患者中报道过一次。
处理鞘内治疗的医护人员应意识到这种潜在的严重并发症。
