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Case Reports in Medicine
Volume 2018, Article ID 5061898, 3 pages
https://doi.org/10.1155/2018/5061898
Case Report

Subdural Hemorrhage after Scoliosis and Detethering of Cord Surgery

1Department of Orthopaedics, Hinduja Healthcare Surgicals, 11th Road, Khar (West), Mumbai 400052, India
2Department of Orthopaedics, Bharati Hospital, Pune 411043, India
3Department of Orthopaedics, Osmania General Hospital, Hyderabad 500012, India

Correspondence should be addressed to Rohan Bhimani; moc.liamg@inamihbnahor.rd

Received 10 November 2017; Revised 14 February 2018; Accepted 27 February 2018; Published 2 April 2018

Academic Editor: Mark E. Shaffrey

Copyright © 2018 Rohan Bhimani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Intracranial hypotension may occur when CSF leaks from the subarachnoid space. Formation of intracranial, subdural, and subarachnoid hemorrhage has been observed after significant CSF leak as seen in lumbar puncture or ventricular shunt placement. However, very few cases, referring to these remote complications following spine surgery, have been described in literature. We present a case of a 10-year-old male child operated for idiopathic scoliosis with low-lying conus medullaris who postoperatively developed subdural hemorrhage. Case Report. A case of a 10-year-old male operated for idiopathic scoliosis with low-lying conus medullaris is presented. To correct this, detethering was done at the L3 level, laminectomy was done from L2 to L3 with pedicular screw fixation from T3 to L2, and bone grafting with right costoplasty was done from the 3rd to the 6th ribs. On the 5th day postoperatively, the patient developed convulsions and drowsiness and recovered subsequently by postoperative day 7. Conclusion. We report a rare case of an acute intracranial subdural hemorrhage caused by intracranial hypotension following scoliosis and detethering of cord surgery. This report highlights the potential morbidity associated with CSF leak occurring after this surgery.