Diffuse pneumocephalus associated with infratentorial and supratentorial hemorrhages as a complication of spinal surgery
Diffuse pneumocephalus associated with infratentorial and supratentorial hemorrhages as a complication of spinal surgery
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DOI：
10.1080/02841850600644766
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发表时间：
2006-06-01
期刊：
影响因子：
1.3
通讯作者：
Kizilkaya, E.
中科院分区：
文献类型：
--
作者：
Ozturk, E.;Kantarci, M.;Kizilkaya, E.
一名23岁的女性患者因胸腰椎脊柱侧凸接受矫形棒置入术后6小时意识丧失被转移到我科。脑部计算机断层扫描和磁共振成像均显示弥漫性气颅以及幕下和幕上出血。通过计算机断层扫描分析椎弓根螺钉通道，发现螺钉错位。认为在插入时发生了意外硬脑膜损伤。患者再次接受手术，并修复了硬脑膜撕裂。据我们所知，这是第一次描述这些罕见的并发症，在一个病人脊柱手术后。
A 23-year-old woman was transferred to our department with loss of consciousness 6 h after undergoing rod placement for thoracolumbar scoliosis. Both computed tomography and magnetic resonance imaging of the brain revealed diffuse pneumocephalus and infra- and supratentorial hemorrhages. The pedicular screw tracts were analyzed with computed tomography and misplacement of a screw was noticed. It was thought that inadvertent dural injury had occurred at the time of insertion. The patient was reoperated and the dural tear was repaired. To our knowledge, this is the first description of these uncommon complications in one patient after spine surgery.