Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Acute Hydrocephalus Following Cervical Spinal Cord Injury

  • Son, Seong (Department of Neurosurgery, Gachon University, Gil Medical Center) ;
  • Lee, Sang Gu (Department of Neurosurgery, Gachon University, Gil Medical Center) ;
  • Park, Chan Woo (Department of Neurosurgery, Gachon University, Gil Medical Center) ;
  • Kim, Woo Kyung (Department of Neurosurgery, Gachon University, Gil Medical Center)
  • Received : 2012.11.05
  • Accepted : 2013.08.01
  • Published : 2013.08.28
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Abstract

We present a case of acute hydrocephalus secondary to cervical spinal cord injury in a patient with diffuse ossification of the posterior longitudinal ligament (OPLL). A 75-year-old male patient visited the emergency department with tetraparesis and spinal shock. Imaging studies showed cervical spinal cord injury with hemorrhage and diffuse OPLL from C1 to C4. We performed decompressive laminectomy and occipitocervical fusion. Two days after surgery, his mental status had deteriorated to drowsiness with dilatation of the right pupil. Findings on brain computed tomography revealed acute hydrocephalus and subarachnoid hemorrhage in the cerebellomedullary cistern, therefore, extraventricular drainage was performed immediately. Acute hydrocephalus as a complication of cervical spine trauma is rare, however, it should be considered if the patient shows deterioration of neurologic symptoms.

Keywords

References

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  1. Acute Hydrocephalus as a Complication of Cervical Spine Fracture and Dislocation: A Case Report vol.11, pp.2, 2014, https://doi.org/10.14245/kjs.2014.11.2.74