Intracranial Hemorrhage Following Incidental Durotomy During Spinal Surgery: A Report of Four Patients

Zimmerman, Ryan M.; Kebaish, Khaled M.
October 2007
Journal of Bone & Joint Surgery, American Volume;Oct2007, Vol. 89-A Issue 10, p2275
Academic Journal
Case Study
The article describes the case of four patients who sustained intracranial hemorrhage following an unintentional durotomy during posterior thoracolumbar spinal surgery. It was noted that unintentional durotomy is a frequent complication of spinal surgical procedures, in which the sustained hemorrhage are likely due to an alteration in the intradural hydrostatic dynamics caused by cerebrospinal fluid hypovolemia. The patients symptoms are discussed along with the implications of the findings.


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