Spinal subdural hematoma following posterior fossa surgery

Chih Hsiang Liao, Feng Chi Chang, Sanford P.C. Hsu, Yi Chieh Hung, Hsin Hung Chen, Muh Lii Liang, Tai-Tong Wong, Yang Hsin Shih

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Spinal subdural hematoma (SSDH) is a rare but potentially devastating complication of cranial surgery. This study presents two cases of SSDH after posterior fossa surgery. The first case was a 44-year-old man who harbored a fourth ventricle metastatic adenocarcinoma, and the second case was a 4-year-old boy with a posterior fossa medulloblastoma. Both patients underwent suboccipital craniotomy, and SSDHs were found postoperatively. The first case underwent an additional lumbar laminectomy due to cauda equina syndrome; the second case received conservative treatment because there were no obvious neurologic deficits. Meticulous hemostasis and the avoidance of cerebrospinal fluid overdrainage may reduce the risk of SSDH after cranial surgery. Emergent decompression is warranted for SSDH in the presence of progressive neurologic deterioration.

Original languageEnglish
Pages (from-to)52-55
Number of pages4
JournalFormosan Journal of Surgery
Volume46
Issue number2
DOIs
Publication statusPublished - Jan 1 2013
Externally publishedYes

Fingerprint

Spinal Subdural Hematoma
Polyradiculopathy
Fourth Ventricle
Medulloblastoma
Laminectomy
Craniotomy
Neurologic Manifestations
Decompression
Hemostasis
Nervous System
Cerebrospinal Fluid
Adenocarcinoma

Keywords

  • Cauda equina syndrome
  • Posterior fossa surgery
  • Spinal subdural hematoma

ASJC Scopus subject areas

  • Surgery

Cite this

Liao, C. H., Chang, F. C., Hsu, S. P. C., Hung, Y. C., Chen, H. H., Liang, M. L., ... Shih, Y. H. (2013). Spinal subdural hematoma following posterior fossa surgery. Formosan Journal of Surgery, 46(2), 52-55. https://doi.org/10.1016/j.fjs.2013.01.002

Spinal subdural hematoma following posterior fossa surgery. / Liao, Chih Hsiang; Chang, Feng Chi; Hsu, Sanford P.C.; Hung, Yi Chieh; Chen, Hsin Hung; Liang, Muh Lii; Wong, Tai-Tong; Shih, Yang Hsin.

In: Formosan Journal of Surgery, Vol. 46, No. 2, 01.01.2013, p. 52-55.

Research output: Contribution to journalArticle

Liao, CH, Chang, FC, Hsu, SPC, Hung, YC, Chen, HH, Liang, ML, Wong, T-T & Shih, YH 2013, 'Spinal subdural hematoma following posterior fossa surgery', Formosan Journal of Surgery, vol. 46, no. 2, pp. 52-55. https://doi.org/10.1016/j.fjs.2013.01.002
Liao CH, Chang FC, Hsu SPC, Hung YC, Chen HH, Liang ML et al. Spinal subdural hematoma following posterior fossa surgery. Formosan Journal of Surgery. 2013 Jan 1;46(2):52-55. https://doi.org/10.1016/j.fjs.2013.01.002
Liao, Chih Hsiang ; Chang, Feng Chi ; Hsu, Sanford P.C. ; Hung, Yi Chieh ; Chen, Hsin Hung ; Liang, Muh Lii ; Wong, Tai-Tong ; Shih, Yang Hsin. / Spinal subdural hematoma following posterior fossa surgery. In: Formosan Journal of Surgery. 2013 ; Vol. 46, No. 2. pp. 52-55.
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