Bilateral Subdural Hematomas Following Routine Lumbar Diskectomy
Article first published online: 25 DEC 2001
Headache: The Journal of Head and Face Pain
Volume 40, Issue 6, pages 480–482, June 2000
How to Cite
Burkhard, P. R. and Duff, J. M. (2000), Bilateral Subdural Hematomas Following Routine Lumbar Diskectomy. Headache: The Journal of Head and Face Pain, 40: 480–482. doi: 10.1046/j.1526-4610.2000.00072.x
- Issue published online: 25 DEC 2001
- Article first published online: 25 DEC 2001
- Accepted for publication December 17, 1999.
- subdural hematoma;
- intracranial hypotension;
- cerebrospinal fluid leak;
- postural headache
Intracranial hypotension is a rare, and possibly underrecognized, cause of headache in middle age. Occurring spontaneously in the vast majority of cases, it has been occasionally reported after certain neurosurgical procedures involving craniectomy. We report a unique situation in which a patient developed severe postural headache typical of intracranial hypotension, which was complicated by bilateral subdural hematomas, immediately following a routine lumbar diskectomy; the headache resolved spontaneously. We suggest that an intraoperative microscopic dural breach was the site of sustained, but self-limited, cerebrospinal fluid leakage that eventually led to intracranial hypotension.