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Hydrocephalus as a Complication of Durotomy during Cervical Laminoplasty - A Case Report -

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2018, 25(2), pp.69-73
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

Jemin, Yi 1

1단국대학교 의과대학 정형외과학교실

Accredited

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.

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