1. Postoperative Spinal Subdural Extra-arachnoid Hygroma Because of Trauma: Resolution with Lumbar Puncture: A Case Report.
- Author
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Arimura D, Shinohara A, Katsumi S, Obata S, Kanai T, and Saito M
- Subjects
- Female, Humans, Aged, Spinal Puncture adverse effects, Subdural Space, Spinal Cord, Lymphangioma, Cystic complications, Subdural Effusion diagnostic imaging, Subdural Effusion etiology
- Abstract
Case: A 73-year-old woman, after spinal surgery, presented with symptomatic spinal subdural extra-arachnoid hygroma (SSEH) because of a fall on the third postoperative day. The hygroma was diagnosed by magnetic resonance imaging (MRI). Lumbar puncture was performed under local anesthesia, after which the leg pain disappeared immediately. MRI obtained immediately after puncture and 1 week later confirmed disappearance of the hygroma., Conclusion: Although dural transection is mentioned in most of the reports on treatment of symptomatic postoperative SSEH, we were able to treat this entity by epidural puncture. In the absence of paraplegia or cystorectal disturbance, puncture can be an effective and minimally invasive treatment option., Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C252)., (Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.)
- Published
- 2023
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