Nemir Jakob, Peterković Vjerislav, Trninić Ines, Domazet Ivan, Barić Hrvoje, Vukić Miroslav
Department of Neurosurgery, University Hospital Centre Zagreb, Zagreb University School of Medicine, Zagreb, Croatia.
Pediatr Neurosurg. 2018;53(2):89-93. doi: 10.1159/000481916. Epub 2017 Nov 11.
Postoperative intracranial epidural haematoma (EDH) is an extremely rare complication following spinal surgery, with only a handful of cases described in the literature. We report the case of a 16-year-old girl who underwent a successful subtotal resection of a giant lumbosacral schwannoma (L2-S2 level). Recovery from general anaesthesia was uneventful; however, her neurological status deteriorated rapidly within 24 h after surgery. A head computed tomography scan revealed a large right frontoparietal EDH with midline shift. An immediate frontotemporoparietal osteoplastic craniotomy and evacuation of the EDH were performed. At 1 year postoperatively, the patient regained full neurological recovery with no radiological signs of growth of the residual tumour.
术后颅内硬膜外血肿（EDH）是脊柱手术后极为罕见的并发症，文献中仅描述了少数病例。我们报告了一名16岁女孩的病例，她成功接受了巨大腰骶部神经鞘瘤（L2 - S2水平）的次全切除术。全身麻醉苏醒过程顺利；然而，术后24小时内她的神经状况迅速恶化。头颅计算机断层扫描显示右侧额顶叶有一大块EDH并伴有中线移位。立即进行了额颞顶开颅去骨瓣减压术并清除了EDH。术后1年，患者神经功能完全恢复，残留肿瘤无影像学生长迹象。
