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J Korean Soc Spine Surg. 2018 Jun;25(2):69-73. English. Case Report. https://doi.org/10.4184/jkss.2018.25.2.69
Yi J .
Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Korea. firekimdo@gmail.com
Abstract

Study Design

Case report.

Objectives

We report a case of hydrocephalus as a complication of durotomy during cervical laminoplasty.

Summary of Literature Review

Hydrocephalus is a very rare complication of cervical laminoplasty.

Materials and Methods

A 72-year-old man had an incidental durotomy during cervical laminoplasty. The dural leak was repaired by secondary surgery. However, the patient continued to complain of headaches and developed confusion and drowsiness. A computed tomographic scan of the brain showed hydrocephalus. After insertion of a lumbar drain, the patient experienced a temporary improvement in the neurologic symptoms. After 6 months, the neurologic symptoms recurred and a ventriculoperitoneal (VP) shunt was placed.

Results

After placement of the VP shunt, the neurologic symptoms improved significantly.

Conclusions

If a patient shows deterioration of neurologic symptoms after an incidental durotomy, surgeons should consider the possibility of hydrocephalus.

Copyright © 2019. Korean Association of Medical Journal Editors.