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.

Maugeri, R., Giugno, A., Graziano, F., Visocchi, M., Giller, C., Iacopino, D., Delayed chronic intracranial subdural hematoma complicating resection of a tanycytic thoracic ependymoma, <<SURGICAL NEUROLOGY INTERNATIONAL>>, 2016; 7 (Suppl 1): S20-S22. [doi:10.4103/2152-7806.173563] [http://hdl.handle.net/10807/95395]

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

Visocchi, Massimiliano;
2016

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.
2016
Inglese
Maugeri, R., Giugno, A., Graziano, F., Visocchi, M., Giller, C., Iacopino, D., Delayed chronic intracranial subdural hematoma complicating resection of a tanycytic thoracic ependymoma, <<SURGICAL NEUROLOGY INTERNATIONAL>>, 2016; 7 (Suppl 1): S20-S22. [doi:10.4103/2152-7806.173563] [http://hdl.handle.net/10807/95395]
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/95395
Citazioni
  • ???jsp.display-item.citation.pmc??? 4
  • Scopus 6
  • ???jsp.display-item.citation.isi??? ND
social impact