Korean J Spine.  2014 Mar;11(1):12-14. 10.14245/kjs.2014.11.1.12.

Spinal Subdural Hematoma Following Meningioma Removal Operation

• Jun HS
• Oh JK
• Park YS
• Song JH

• KMID: 2288382
• DOI: http://doi.org/10.14245/kjs.2014.11.1.12

Abstract

Although blood contamination of cerebrospinal fluid (CSF) after an intracranial operation can occur, the development of a symptomatic spinal hematoma after craniotomy has been anecdotally reported and it is uncommon reported after a supratentorial meningioma removal operation. We report a case of spinal subdural hematoma following a supratentorial meningioma removal operation and discuss the mechanism of spinal subdural hematoma (SSDH) development. A 54-year-old woman presented with lumbago and radicular pain on both legs 4 days after a right parietooccipital craniotomy for meningioma removal. Only the straight leg raising sign was positive on neurologic examination but the magnetic resonance imaging (MRI) demonstrated a lumbosacral spinal subdural hematoma. The patient received serial lumbar tapping, after which her symptoms showed improvement.

Keyword

Spinal subdural hematoma; Meningioma; Lumbar tapping

MeSH Terms

Cerebrospinal Fluid
Craniotomy
Female
Hematoma
Hematoma, Subdural, Spinal*
Humans
Leg
Low Back Pain
Magnetic Resonance Imaging
Meningioma*
Middle Aged
Neurologic Examination