Pseudohypoxic Brain Swelling After Uncomplicated Lumbar Decompression and Fusion for Spondylolisthesis

被引:4
|
作者
Chidambaram, Swathi [1 ]
Swong, Kevin [1 ]
Ander, Michael [1 ]
Nockels, Russel P. [1 ]
机构
[1] Loyola Univ Med Ctr, Dept Neurol Surg, Maywood, IL 60153 USA
关键词
Lumbar decompression and fusion; Postoperative complications; Postoperative intracranial hypotension-associated venous; Pseudohypoxic brain swelling; SPONTANEOUS INTRACRANIAL HYPOTENSION; CEREBROSPINAL-FLUID LEAK; SURGERY;
D O I
10.1016/j.wneu.2019.07.228
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: Pseudohypoxic brain swelling (RIBS), also known as post-operative intracranial hypotension-associated venous congestion, is a rare complication after neurosurgery characterized by rapid and often severe postoperative deterioration in consciousness and distinct imaging findings on brain magnetic resonance imaging. Imaging findings associated with PHBS include computed tomography and magnetic resonance imaging findings that resemble hypoxic changes and intracranial hypotensive changes in basal ganglia and thalamus, telencephalic, and infratentorial regions without notable changes in intracranial vasculature. CASE DESCRIPTION: This report describes the case of an L4-5 micro-diskectomy with posterior decompression and fusion complicated by clinical and radiographic findings resembling PHBS without a known intraoperative durotomy. CONCLUSIONS: Spine surgeons should be alerted to the possibility that PHBS occur in patients even after an operation without known durotomy or cerebrospinal fluid leakage and with spontaneous clinical resolution unrelated to suction drainage changes or epidural blood patches.
引用
收藏
页码:155 / 158
页数:4
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