Spinal epidural hematoma related to intracranial hypotension.
A 45-year-old female patient visited the hospital complaining of severe sudden headache and posterior neck pain. The patient did not have any traumatic history or abnormal neurologic finding. The patient had sudden quadriplegia and sensory loss. Cervical spine MRI scan was taken, and the compatible findings to acute epidural hematoma were shown. The emergency operation was performed. After the operation, the patient recovered all motor and senses. As there was CSF leakage in the postoperative wound, this was confirmed by cervical spinal computed tomography (CT). Then lumbar drainage was thus performed. The opening pressure upon lumbar puncture was not measured as it was very low. As a result of continous CSF leakage, dural repair was performed. After the operation, the patient had been discharged without neurologic deficits. In this case, it is sensible to suspect intracranial hypotension as a possible cause of spinal EDH.
Department of Neurosurgery, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea.
Kyung Han
KH
Cha
Department of Neurosurgery, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea.
Tack Geun
TG
Cho
Department of Neurosurgery, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea.
Chang Hyun
CH
Kim
Department of Neurosurgery, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea.
Ho Kook
HK
Lee
Department of Neurosurgery, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea.
Jae Gon
JG
Moon
Cerebrospinal fluid leakage; Headache; Neck pain; Spinal epidural hematoma