Spinal Subdural Hematoma after Temporal Lobectomy in a Patient with Intractable Epilepsy : A Case Report |
Sun Joon Yoo, Won Seok Chang, Hyun Ho Jung, Jin Woo Chang |
Division of Stereotactic and Functional Neurosurgery, Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea |
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Abstract |
Spinal subdural hematoma (SDH) following craniotomy is rare. Most reported cases of postoperative spinal SDH occurred after surgery for cranial SDH. We report the case of a spinal SDH that followed epilepsy surgery. We also discuss the mechanism of its development. Six days after a temporal lobectomy, a 30-year-old woman presented with lower back pain radiating to both lower extremities. Magnetic resonance imaging (MRI) revealed a lumbar spinal SDH. The patient was managed conservatively with intravenous steroids. After 5 days, her symptoms began to improve. The spinal SDH spontaneously resolved without surgical intervention. |
Key Words:
Epilepsy surgery, Spinal subdural hematoma, Temporal lobectomy. |
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