AI Article Synopsis
- A 69-year-old woman experienced multiple intracranial hemorrhages following cervical laminoplasty for spinal condition, despite no intraoperative fluid leakage.
- A wound drainage tube was placed, resulting in a significant amount of fluid drainage in the first 12 hours after surgery, and she showed no immediate symptoms like headache or nausea.
- Subsequent imaging revealed several types of hemorrhages, but medical treatment resulted in recovery with only mild right hemianopsia as a neurological deficit, suggesting the importance of careful monitoring of drainage to prevent complications.
Article Abstract
A 69-year-old woman presented with a rare case of multiple supra- and infratentorial intracranial hemorrhages after cervical laminoplasty for cervical spondylotic myelopathy without intraoperative liquorrhea. A wound drainage tube under negative pressure was placed with subsequent 380 ml of drainage in the first 12 hours. She had no complaint of headache and nausea at that time. Computed tomography of the brain obtained at 15 hours after surgery demonstrated cerebellar hemorrhage, acute subdural hemorrhage, subarachnoid hemorrhage, supratentorial intraparenchymal hemorrhage, and pneumocephalus. She was treated medically without consequent neurological deficits other than right hemianopsia. Overdrainage of cerebrospinal fluid through an occult dural tear might cause severely low intracranial pressure with subsequent multiple intracranial hemorrhages. Wound drainage should be controlled thoroughly even in patients without intraoperative liquorrhea.
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| http://dx.doi.org/10.2176/nmc.52.643 | DOI Listing |
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