Zakaria A F, Tsuji M
Department of Orthopaedic Surgery, Murayama Medical Center, Tokyo, Japan.
Malays Orthop J. 2019 Nov;13(3):85-87. doi: 10.5704/MOJ.1911.016.
Intracranial subdural hematoma following lumbar surgery is a devastating but rare complication. It has been implicated due to intracranial hypotension secondary to persistent cerebrospinal fluid leakage. The resultant drop in intracranial pressure presumably causes traction and tearing of venous structures. Patients typically present with postural headaches. However, other symptoms of subdural hematoma, intracranial hypotension and cerebrospinal fluid leak must also be cautioned.
腰椎手术后发生颅内硬膜下血肿是一种严重但罕见的并发症。其病因被认为是由于持续脑脊液漏导致颅内低压。由此引起的颅内压下降可能导致静脉结构的牵拉和撕裂。患者通常表现为体位性头痛。然而，硬膜下血肿、颅内低压和脑脊液漏的其他症状也必须引起注意。
