Communicating hydrocephalus, a long-term complication of dural tear during lumbar spine surgery.

Endriga, David T.; Dimar, John R; Carreon, Leah Y.

doi:10.1007/s00586-015-4308-0

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Communicating hydrocephalus, a long-term complication of dural tear during lumbar spine surgery.

Author(s): David Endriga, John R Dimar, Leah Carreon

Publication date: 2016-05-01

Journal: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

Publisher: Springer Nature America, Inc

Keywords: Pseudomeningocoele, Hydrocephalus, Dural tears, Subarachnoid hygroma, Subarachnoid hemorrhage

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Abstract

Iatrogenic dural tears during lumbar spine surgery are not uncommon and may have multiple long-term sequelae if not managed promptly and definitively. Sequelae include pseudomeningocoeles due to a persistent cerebrospinal fluid leak, which may result in a subarachnoid hemorrhage or subdural hematoma. These, in turn, can lead to adult communicating hydrocephalus. The purpose of this study is to describe a case of an intraoperative iatrogenic dural tear leading to the formation of a pseudomeningocoele and progressing to hydrocephalus.