XXXX Due to Intraventricular @entity548 Following Incidental Durotomy during Lumbar Spine Surgery.

@entity1 @entity1276 @entity548 @entity693 @entity2737 @entity850 @entity4720 @entity1779
STUDY DESIGN: Case report and review of literature. OBJECTIVE: To present an exceedingly rare occurrence of obstructive @entity1276 ( @entity1276 ) secondary to @entity548 ( @entity548 ) after incidental durotomy during lumbar spine surgery. SUMMARY OF BACKGROUND DATA: Incidental durotomies are uncommon but well recognized complications associated with spine surgery. While mostly considered benign with no untoward clinical sequele, it can be symptomatic and present with spinal headaches, pseudomeningoceles, @entity2737 , @entity693 and @entity1779 . METHODS: A 76-year-old @entity1 underwent L3-S1 laminectomies and fusion for @entity4720 and @entity850 . Intraoperatively, a small incidental durotomy was encountered and primarily repaired. RESULTS: The @entity1 developed altered mental status on post-operative day 2. Computed tomography of the brain revealed obstructive @entity1276 and @entity548 . The @entity1 was immediately transferred to the neurosurgery intensive care unit and an external ventricular drain (EVD) was placed emergently with high opening pressure. Her mental status improved immediately after cerebral spinal fluid diversion. The EVD was successfully removal after 8 days. The @entity1 made a full recovery and was discharged in stable condition. CONCLUSIONS: Obstructive @entity1276 following @entity548 is an exceptionally rare but potentially life-threatening complication of incidental durotomies. Spine surgeons should be aware of this rare but serious complication.
