Lumbar Spinal Subdural Hematoma Following Craniotomy —Case Report—
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- SHIMIZU Satoru
- Department of Neurosurgery, Kitasato University School of Medicine
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- TACHIBANA Shigekuni
- Department of Neurosurgery, Kitasato University School of Medicine
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- MAEZAWA Hiroshi
- Department of Neurosurgery, Kitasato University School of Medicine
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- FUJII Kiyotaka
- Department of Neurosurgery, Kitasato University School of Medicine
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- KAN Shinichi
- Departments of Radiology, Kitasato University School of Medicine
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Abstract
A 52-year-old female complained of lumbago and weakness in the lower extremities 6 days after craniotomy for clipping an aneurysm. Neurological examination revealed symptoms consistent with lumbosacral cauda equina compression. The symptoms affecting the lower extremities spontaneously disappeared within 3 days. Magnetic resonance (MR) imaging 10 days after the operation demonstrated a lumbar spinal subdural hematoma (SSH). She had no risk factor for bleeding at this site, the symptoms appeared after she began to walk, and MR imaging suggested the SSH was subacute. Therefore, the SSH was probably due to downward movement of blood from the cranial subdural space under the influence of gravity. SSH as a complication of cranial surgery is rare, but should be considered if a patient develops symptoms consistent with a lumbar SSH after craniotomy.
Journal
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 39 (4), 299-301, 1999
The Japan Neurosurgical Society
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Details 詳細情報について
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- CRID
- 1390282680026053120
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- NII Article ID
- 110002279750
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- NII Book ID
- AN00358613
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- COI
- 1:STN:280:DyaK1M3oslSgtQ%3D%3D
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- ISSN
- 13498029
- 04708105
- http://id.crossref.org/issn/04708105
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- PubMed
- 10358985
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- Text Lang
- en
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- Data Source
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- Abstract License Flag
- Disallowed