Late-onset spinal subdural hematoma following cerebrospinal fluid drainage tube removal

Masashi Hattori; Yasutoshi Tsuda; Masato Nakajima; Katsuyuki Shigehara; Takahito Yokoyama

doi:10.1016/j.jvscit.2021.12.009

Late-onset spinal subdural hematoma following cerebrospinal fluid drainage tube removal

J Vasc Surg Cases Innov Tech. 2022 Jan 4;8(1):107-110. doi: 10.1016/j.jvscit.2021.12.009. eCollection 2022 Mar.

Authors

Masashi Hattori¹, Yasutoshi Tsuda¹, Masato Nakajima¹, Katsuyuki Shigehara¹, Takahito Yokoyama¹

Affiliation

¹ Department of Cardiovascular Surgery, Yamanashi Prefectural Central Hospital, Kōfu, Japan.

Abstract

Cerebrospinal fluid drainage is recommended for high-risk patients to prevent spinal cord ischemia during aortic surgery; however, it is associated with complications. We report a case of a late-onset spinal subdural hematoma that developed after removal of the cerebrospinal fluid drainage tube from a patient who undergon thoracic endovascular aortic repair. Spinal hematoma usually develop 2 to 3 days after tube removal; however, in our patient's case, it developed after 7 days. Therefore, a spinal subdural hematoma can occur ≤1 week after drainage tube removal, necessitating prompt magnetic resonance imaging for patients with lower limb weakness or back pain.

Keywords: Aortic dissection; Cerebrospinal fluid drainage; Paraparesis; Spinal subdural hematoma; Thoracic endovascular aortic repair.

Publication types

Case Reports