Cerebral vasospasm following intracranial hypotension caused by cerebrospinal fluid leak from an incidental lumbar durotomy. Case report.
The authors report on the unusual case of a patient with intracranial hypotension following an incidental durotomy complicated by an extensive but reversible cerebral vasospasm. Despite the dural tear repair and correction of the intracranial hypotension, the vasospasm ran its course. The precise mechanism of the cerebral vasospasm in this patient is unclear.
Chaves
Claudia
C
Departments of Neurology, Neurosurgery, Neuroradiology, and Interventional Neuroradiology, Lahey Clinic, Burlington, Massachusetts 01805, USA. Claudia.j.chaves@lahey.org
Freidberg
Stephen R
SR
Lee
Grace
G
Zerris
Vasilios
V
Ries
Sarah
S
Chavali
Ram
R
D000328:Adult; D002533:Cerebral Angiography; D038524:Diffusion Magnetic Resonance Imaging; D004388:Dura Mater / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D019585:Intracranial Hypotension / Q000150:complications / Q000209:etiology*; D007431:Intraoperative Complications; D007796:Laminectomy / Q000009:adverse effects*; D008159:Lumbar Vertebrae / Q000601:surgery; D013353:Subdural Effusion / Q000209:etiology*; D020301:Vasospasm, Intracranial / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology