J Korean Soc Spine Surg.  2018 Jun;25(2):69-73. 10.4184/jkss.2018.25.2.69.

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

Affiliations
  • 1Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Korea. firekimdo@gmail.com

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.

Keyword

Hydrocephalus; Durotomy; Cervical laminoplasty

MeSH Terms

Aged
Brain
Headache
Humans
Hydrocephalus*
Laminoplasty*
Neurologic Manifestations
Sleep Stages
Surgeons
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